DR. JENNIFER LYNN ETCHANDY (O.D.) – Optometrist, NPI 1275033623
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
386 OPTOMETRY in NV
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Provider Addresses for DR. JENNIFER LYNN ETCHANDY (O.D.)
1104, North Division Street, Carson City, Nevada, 89703, United States
CARSON CITY, NV 897033803
Phone: (775) 882-9123
Fax: (775) 882-6030
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 $273.
Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($125).
Total Amount
$273
General + Research + Ownership
Payments
7
Total payment records
General Amount
$273
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240716003878 | I | Optometry | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CO | |
| Internal Medicine | VA | |
| Internal Medicine | OH | |
| Family Practice | NY | |
| O P H T H A L M O L O G Y | PA | |
| Family Practice | ME | |
| Clinical Social Worker | CO | |
| Physician Assistant | CO | |
| - | FL |
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