CARRIE T HRUZA (O.D.) – Optometrist, NPI 1700870284

CARRIE T HRUZA (O.D.) is a healthcare provider. based in Fenton, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2002027795 (MO). The NPI Number for CARRIE T HRUZA (O.D.) is 1700870284

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE T HRUZA (O.D.)
NPI
1700870284
Phone
(636) 717-1700
Address
1011 BOWLES AVE
Enumeration Date
9 September 2005
Last Update Date
5 November 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6367171700
Graduation Year
2002 (24 years ago)
PAC ID
6901958917
Group Practice PAC ID
0042375941
Professional Enrollment ID
I20090722000040
Address ID
MO630262384FE1011XAVEX336
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

863 OPTOMETRY in MO

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Provider Addresses for CARRIE T HRUZA (O.D.)

  • 1011, Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States

    SUITE 200

    FENTON, MO 630262395

    Phone: (636) 717-1700

    Fax: (636) 203-4727

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: ABBVIE INC. ($126).

Total Amount

$192

General + Research + Ownership

Payments

9

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

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: 2009-07-22

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
I20090722000040IOptometryMOTBD

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
92014Established patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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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: 0042375941View full group profile
NameSpecialtyState
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P H T H A L M O L O G YOK

Reviews

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Frequently asked questions

What unique ID ties claims to CARRIE T HRUZA (O.D.)?
NPI 1700870284 is assigned to CARRIE T HRUZA (O.D.) under the national enumeration system.
Is CARRIE T HRUZA (O.D.) active in the national directory?
CARRIE T HRUZA (O.D.)'s public NPI profile is in an active state.
Does CARRIE T HRUZA (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for CARRIE T HRUZA (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for CARRIE T HRUZA (O.D.)?
We surface Fenton, Missouri for CARRIE T HRUZA (O.D.) based on available NPPES addresses.
What if Fenton, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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