ANDREA MALDONADO (OD) – Optometrist, NPI 1467014118

ANDREA MALDONADO (OD) is a healthcare provider. based in Reno, Nevada. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1033 (NV). The NPI Number for ANDREA MALDONADO (OD) is 1467014118

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA MALDONADO (OD)
NPI
1467014118
Phone
(775) 328-1773
Address
2295 KIETZKE LN
Enumeration Date
2 July 2019
Last Update Date
2 July 2019

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9155954375
Graduation Year
2019 (7 years ago)
PAC ID
1759705452
Group Practice PAC ID
2264408152
Professional Enrollment ID
I20241120000648
Address ID
TX799124302EL150XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

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Provider Addresses for ANDREA MALDONADO (OD)

  • 2295, Kietzke Lane, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895023604

    Phone: (775) 328-1773

    Type: Location

  • 4955 CIARRA KENNEDY LN

    RENO, NV 895031388

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $557.

Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($250).

Total Amount

$557

General + Research + Ownership

Payments

6

Total payment records

General Amount

$557

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-11-20

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
I20200727003405IOptometryNVTBD
I20241120000648IOptometryTXTBD

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 89502)

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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: 2264408152View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P T O M E T R YTX
A N E S T H E S I O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YNC
Certified Registered Nurse Anesthetist (Crna)HI
O P H T H A L M O L O G YAZ
O P T O M E T R YTX
O P T O M E T R YAZ
O P T O M E T R YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do I look up ANDREA MALDONADO (OD) by NPI?
Use NPI 1467014118 when you need to reference ANDREA MALDONADO (OD) in forms, claims, or directories.
Is ANDREA MALDONADO (OD) currently active in the NPI registry?
CMS-published data lists ANDREA MALDONADO (OD) as an active registrant.
Does ANDREA MALDONADO (OD) list a primary specialty?
If you are matching referrals, note Optometrist for ANDREA MALDONADO (OD). Clinical services aligned with this taxonomy classification.
Does ANDREA MALDONADO (OD) practice in Nevada?
You will see Reno, Nevada on file for ANDREA MALDONADO (OD) alongside any extra practice locations.
Is ANDREA MALDONADO (OD) a real provider?
This page reflects official NPPES data for NPI 1467014118. Always confirm identity and privileges with the practice and licensing boards.

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