DR. DEBBIE KIM EDEGRAN (O.D.) – Optometrist, NPI 1487700431

DR. DEBBIE KIM EDEGRAN (O.D.) is a healthcare provider. based in Closter, New Jersey. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4813 (NJ). The NPI Number for DR. DEBBIE KIM EDEGRAN (O.D.) is 1487700431

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBBIE KIM EDEGRAN (O.D.)
NPI
1487700431
Phone
(201) 768-2020
Address
520 DURIE AVE
Enumeration Date
25 January 2007
Last Update Date
15 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2017682020
Graduation Year
1987 (39 years ago)
PAC ID
4880746387
Group Practice PAC ID
2567836323
Professional Enrollment ID
I20090714000650
Address ID
NJ076242008CL520XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DR. DEBBIE KIM EDEGRAN (O.D.)

  • Dr. Debbie Kim Optometry, 520, Durie Avenue, Closter, Bergen County, New Jersey, 07624, United States

    CLOSTER, NJ 076242008

    Phone: (201) 768-2020

    Fax: (201) 768-5797

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-07-14

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
I20090714000650IOptometryNJTBD

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
92014Established patient complete exam of visual system8585$0
92012Established patient problem focused exam of visual system7853$0
92250Photography of the retina5454$0
92083Exam of visual field with extended testing3029$0
92020Exam of the internal drainage system of eye2121$0
View full utilization report →

Insurance plans in this area (ZIP 07624)

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Provider's Procedures

DR. DEBBIE KIM EDEGRAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYNJ92012Eye and medical examination for diagnosis and treatment, established patient262147

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: 2567836323View full group profile
NameSpecialtyState
O P T O M E T R YNY

Reviews

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Frequently asked questions

Where can patients find DR. DEBBIE KIM EDEGRAN (O.D.)'s NPI?
You can confirm DR. DEBBIE KIM EDEGRAN (O.D.) with NPI 1487700431; it appears in the national provider directory.
Does this profile mean DR. DEBBIE KIM EDEGRAN (O.D.) is currently active?
Yes — DR. DEBBIE KIM EDEGRAN (O.D.) appears active in the national provider directory.
Can you summarize DR. DEBBIE KIM EDEGRAN (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. DEBBIE KIM EDEGRAN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DEBBIE KIM EDEGRAN (O.D.)?
The page summarizes Closter, New Jersey for DR. DEBBIE KIM EDEGRAN (O.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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