GEORGE WILLIAM JR. DOOLIN (OD) – Optometrist, NPI 1396741633

GEORGE WILLIAM JR. DOOLIN (OD) is a healthcare provider. based in Ballwin, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC1405 (FL). The NPI Number for GEORGE WILLIAM JR. DOOLIN (OD) is 1396741633

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE WILLIAM JR. DOOLIN (OD)
NPI
1396741633
Phone
(636) 200-4393
Address
15933 CLAYTON RD
Enumeration Date
22 June 2005
Last Update Date
3 August 2017

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
6362004393
Graduation Year
1978 (48 years ago)
PAC ID
8921178138
Group Practice PAC ID
0042362527
Professional Enrollment ID
I20080530000326
Address ID
FL325032040PE5101XHWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for GEORGE WILLIAM JR. DOOLIN (OD)

  • Clayton Road, Ballwin, Saint Louis County, Missouri, 63011, United States

    SUITE 201

    BALLWIN, MO 630112172

    Phone: (636) 200-4393

    Fax: (636) 527-0838

    Type: Mailing

  • Racetrack Road Northwest, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325474600

    Phone: (850) 315-8861

    Fax: (850) 864-2844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($144).

Total Amount

$488

General + Research + Ownership

Payments

6

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-05-30

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
I20080530000326IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina400336$0
92014Established patient complete exam of visual system391342$0
92004New patient complete exam of visual system7676$0
99213Established patient office or other outpatient visit, 20-29 minutes7157$0
99214Established patient office or other outpatient visit, 30-39 minutes5549$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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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: 0042362527View full group profile
NameSpecialtyState
O P T O M E T R YFL
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YMO
O P T O M E T R YFL
O P T O M E T R YMO

Reviews

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Frequently asked questions

Does GEORGE WILLIAM JR. DOOLIN (OD) have a public NPI I can cite?
Public records show GEORGE WILLIAM JR. DOOLIN (OD) under NPI 1396741633.
Should I treat GEORGE WILLIAM JR. DOOLIN (OD) as an active provider?
Patients and plans typically see GEORGE WILLIAM JR. DOOLIN (OD) as active in the national extract.
What services align with GEORGE WILLIAM JR. DOOLIN (OD)'s listing?
GEORGE WILLIAM JR. DOOLIN (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is GEORGE WILLIAM JR. DOOLIN (OD) tied to Ballwin, Missouri?
If you are local to Ballwin, Missouri, GEORGE WILLIAM JR. DOOLIN (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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