DR. MARIE LULETTE PINTO FERMIL (OD) – Optometrist, NPI 1063728277

DR. MARIE LULETTE PINTO FERMIL (OD) is a healthcare provider. based in Fort leonard wood, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002793 (VA). The NPI Number for DR. MARIE LULETTE PINTO FERMIL (OD) is 1063728277

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIE LULETTE PINTO FERMIL (OD)
NPI
1063728277
Phone
(573) 596-0048
Address
126 Missouri Ave
Enumeration Date
25 August 2010
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
9155879400
Graduation Year
2019 (7 years ago)
PAC ID
2769857044
Group Practice PAC ID
4486985678
Professional Enrollment ID
I20230419001668
Address ID
TX799367484EL1325XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. MARIE LULETTE PINTO FERMIL (OD)

  • 126 Missouri Ave

    Box 1263

    Fort Leonard Wood, MO 654738952

    Phone: (573) 596-0048

    Type: Location

  • 915 N Grand Blvd

    Saint Louis, MO 631061621

    Phone: (314) 652-4100

    Type: Location

  • 5005 North Piedras Street

    El Paso, TX 79920

    Phone: (925) 978-3248

    Type: Location

  • 5005 NORTH PIEDRAS STREET

    EL PASO, TX 79920

    Phone: (925) 978-3248

    Type: Location

  • 7364 BRAYS LANDING DR

    EL PASO, TX 799113101

    Phone: (925) 978-3248

    Type: Mailing

  • 1325 GEORGE DIETER DR STE I2

    EL PASO, TX 799367484

    Phone: (915) 591-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($95).

Total Amount

$407

General + Research + Ownership

Payments

12

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230419001668IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65473)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486985678View full group profile
NameSpecialtyState
O P T O M E T R YTX
-TX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
-TX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. MARIE LULETTE PINTO FERMIL (OD)?
Save NPI 1063728277 if you need a stable reference for DR. MARIE LULETTE PINTO FERMIL (OD).
Is DR. MARIE LULETTE PINTO FERMIL (OD) currently active in the NPI registry?
CMS-published data lists DR. MARIE LULETTE PINTO FERMIL (OD) as an active registrant.
What kind of provider is DR. MARIE LULETTE PINTO FERMIL (OD)?
The page reflects Optometrist for DR. MARIE LULETTE PINTO FERMIL (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARIE LULETTE PINTO FERMIL (OD)?
The page summarizes Fort Leonard Wood, Missouri for DR. MARIE LULETTE PINTO FERMIL (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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