DR. CORAL DUNDON (OD) – Optometrist, NPI 1447774047

DR. CORAL DUNDON (OD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2017020396 (MO). The NPI Number for DR. CORAL DUNDON (OD) is 1447774047

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORAL DUNDON (OD)
NPI
1447774047
Phone
(314) 516-5016
Address
3940 Lindell Blvd
Enumeration Date
26 July 2017
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3145165016
Graduation Year
2017 (9 years ago)
PAC ID
9931455367
Group Practice PAC ID
6800704560
Professional Enrollment ID
I20180627001899
Address ID
MO631083204SA3940XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. CORAL DUNDON (OD)

  • 3940 Lindell Blvd

    Saint Louis, MO 631083204

    Phone: (314) 516-5016

    Fax: (314) 535-4741

    Type: Location

  • 601 JAMES R THOMPSON BLVD

    BLDG D STE 2030

    EAST ST LOUIS, IL 62201

    Phone: (618) 274-0169

    Fax: (618) 274-0781

    Type: Location

  • 7840 NATURAL BRIDGE BLVD

    PATIENT CARE CENTER

    ST LOUIS, MO 63121

    Phone: (314) 516-5131

    Fax: (314) 516-5507

    Type: Location

  • Wildrose, Hannibal, Marion County, Missouri, 63401, United States

    MARION, IL 629591223

    Phone: (573) 778-6445

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Dompe US, Inc. ($35).

Total Amount

$104

General + Research + Ownership

Payments

4

Total payment records

General Amount

$104

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: 2018-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180627001899IOptometryMOTBD
I20180921000063IOptometryILTBD

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 63108)

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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: 6800704560View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. CORAL DUNDON (OD) in U.S. healthcare records?
The official identifier for DR. CORAL DUNDON (OD) is NPI 1447774047.
Is DR. CORAL DUNDON (OD) still an active registrant?
DR. CORAL DUNDON (OD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. CORAL DUNDON (OD)?
DR. CORAL DUNDON (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. CORAL DUNDON (OD) registered?
Use Saint Louis, Missouri as the headline location for DR. CORAL DUNDON (OD) here.
When was this NPI issued?
Enumeration for DR. CORAL DUNDON (OD) is noted as July 26, 2017 where the registry provides it.

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