AMANDA MARIE MINERVINI (OD) – Optometrist, NPI 1184240780
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA MARIE MINERVINI (OD)
681 ROUTE 15 SOUTH
LAKE HOPATCONG, NJ 07849
Phone: (973) 663-0800
Fax: (973) 663-0103
Type: Mailing
4 2ND AVE STE 104
DENVILLE, NJ 078342748
Phone: (973) 627-8818
Fax: (973) 327-7274
Type: Location
150 S 1000 E
STE 100
SALT LAKE CITY, UT 841021496
Phone: (973) 663-0800
Fax: (973) 663-0103
Type: Mailing
150 S 1000 E STE 100
SALT LAKE CITY, UT 841021496
Phone: (801) 363-2851
Fax: (801) 363-7186
Type: Location
5357 S BAKER ST
MURRAY, UT 841076374
Phone: (973) 479-0136
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,002.
Total Amount is formed as General ($1,002) + Research ($0) + Ownership ($0) = $1,002.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($574).
Total Amount
$1,002
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $574 |
| CooperVision Inc. | $213 |
| Johnson & Johnson Vision Care, Inc. | $158 |
| Alcon Vision LLC | $57 |
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: 2022-03-29
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 |
|---|---|---|---|---|
| I20220329001077 | I | Optometry | UT | 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 07849)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NY | |
| O P T O M E T R Y | NJ | |
| - | NJ | |
| O P T O M E T R Y | NJ | |
| O P T O M E T R Y | NJ | |
| O P T O M E T R Y | NJ |
Reviews
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