CAROLINE ELIZABETH WANNER (OD) – Optometrist, NPI 1487340212

CAROLINE ELIZABETH WANNER (OD) is a healthcare provider. based in Albuquerque, New Mexico. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT-2025-0015 (NM). The NPI Number for CAROLINE ELIZABETH WANNER (OD) is 1487340212

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE ELIZABETH WANNER (OD)
NPI
1487340212
Phone
(505) 246-2622
Address
8801 HORIZON BLVD NE STE 360
Enumeration Date
14 April 2023
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8046422290
Graduation Year
2023 (3 years ago)
PAC ID
0648622779
Group Practice PAC ID
7911043021
Professional Enrollment ID
I20240114000177
Address ID
VA230723100HA3449XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

226 OPTOMETRY in NM

Provider Addresses for CAROLINE ELIZABETH WANNER (OD)

  • 8801 HORIZON BLVD NE STE 360

    ALBUQUERQUE, NM 871131563

    Phone: (505) 246-2622

    Fax: (505) 715-5334

    Type: Mailing

  • 8380 CERRILLOS RD STE 300

    SANTA FE, NM 875074418

    Phone: (505) 375-8955

    Fax: (505) 404-0795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Alcon Vision LLC ($151).

Total Amount

$240

General + Research + Ownership

Payments

8

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2024-11-21

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
I20240114000177IOptometryVATBD
I20241121004375IOptometryNMTBD

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 87113)

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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: 7911043021View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

How is CAROLINE ELIZABETH WANNER (OD) identified in CMS data?
CMS-hosted NPPES data lists CAROLINE ELIZABETH WANNER (OD) with NPI 1487340212.
Is CAROLINE ELIZABETH WANNER (OD) listed as active for patients and plans?
The listing shows CAROLINE ELIZABETH WANNER (OD) as active in the NPI system.
What is CAROLINE ELIZABETH WANNER (OD)'s primary classification?
Optometrist is the headline specialty for CAROLINE ELIZABETH WANNER (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect CAROLINE ELIZABETH WANNER (OD) on a map?
Expect Albuquerque, New Mexico as a primary anchor for CAROLINE ELIZABETH WANNER (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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