MR. RICHARD LANE NUTT (O.D.) – Optometrist, NPI 1710964309

MR. RICHARD LANE NUTT (O.D.) is a healthcare provider. based in Bolivar, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. T02491 (MO). The NPI Number for MR. RICHARD LANE NUTT (O.D.) is 1710964309

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD LANE NUTT (O.D.)
NPI
1710964309
Phone
(417) 326-6001
Address
1111 E CAMBRIDGE ST
Enumeration Date
27 December 2005
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4178766052
Graduation Year
1981 (45 years ago)
PAC ID
1759499668
Group Practice PAC ID
0547501041
Professional Enrollment ID
I20120725000747
Address ID
MO647442316EL701XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for MR. RICHARD LANE NUTT (O.D.)

  • Cambridge Street, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 656133500

    Phone: (417) 326-6001

    Fax: (417) 326-6002

    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 7 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$278

General + Research + Ownership

Payments

7

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

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: 2012-07-25

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
I20120725000747IOptometryMOTBD

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 retina262256$0
92014Established patient complete exam of visual system232232$0
92134Imaging of retina8382$0
99213Established patient office or other outpatient visit, 20-29 minutes5937$0
92004New patient complete exam of visual system5252$0
View full utilization report →

Insurance plans in this area (ZIP 65613)

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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: 0547501041View full group profile
NameSpecialtyState
-MO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the standard ID for MR. RICHARD LANE NUTT (O.D.) in the U.S.?
In the U.S., MR. RICHARD LANE NUTT (O.D.) is identified by NPI 1710964309.
Is MR. RICHARD LANE NUTT (O.D.)'s NPI status active today?
Active status means MR. RICHARD LANE NUTT (O.D.)'s NPI record is not deactivated in the public file.
What does the directory say MR. RICHARD LANE NUTT (O.D.) does?
Insurance directories may phrase it differently, but here MR. RICHARD LANE NUTT (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. RICHARD LANE NUTT (O.D.) in Bolivar, Missouri?
For routing, start with Bolivar, Missouri for MR. RICHARD LANE NUTT (O.D.), then verify phone and hours locally.
Who maintains MR. RICHARD LANE NUTT (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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