MINDY JANE DICKINSON (O.D.) – Optometrist, NPI 1629050604
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
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Provider Addresses for MINDY JANE DICKINSON (O.D.)
Peterson Medical Building, 4353, Dodge Street, Blackstone, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681312709
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Mailing
Edwards Professional Center/Clinic, 715, Harmony Street, Council Bluffs, Kane Township, Pottawattamie County, Iowa, 51503, United States
SUITE 300
COUNCIL BLUFFS, IA 51503
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Location
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 $438.
Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($183).
Total Amount
$438
General + Research + Ownership
Payments
9
Total payment records
General Amount
$438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $183 |
| RxSight Inc | $120 |
| Seagen Inc. | $100 |
| Bausch & Lomb Americas Inc. | $19 |
| CooperVision Inc. | $16 |
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: 2005-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050712001050 | I | Optometry | NE | TBD |
| I20050728000035 | I | Optometry | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 844 | 841 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 276 | 238 | $0 |
| 92133 | Imaging of optic nerve | 164 | 162 | $0 |
| 92134 | Imaging of retina | 161 | 133 | $0 |
| 92083 | Exam of visual field with extended testing | 124 | 112 | $0 |
Insurance plans in this area (ZIP 68131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 194 | 165 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | IA |
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