DR. MIRANDA LYNN PACKARD (OD) – Optometrist, NPI 1003554791

DR. MIRANDA LYNN PACKARD (OD) is a healthcare provider. based in Cincinnati, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 007040 (OH). The NPI Number for DR. MIRANDA LYNN PACKARD (OD) is 1003554791

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRANDA LYNN PACKARD (OD)
NPI
1003554791
Phone
(513) 813-5515
Address
486 Ohio Pike
Enumeration Date
23 May 2022
Last Update Date
12 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5137538225
Graduation Year
2022 (4 years ago)
PAC ID
6800275991
Group Practice PAC ID
3577555614
Professional Enrollment ID
I20220621000611
Address ID
OH452553343CI486XXPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. MIRANDA LYNN PACKARD (OD)

  • 486 Ohio Pike

    Cincinnati, OH 452553343

    Phone: (513) 813-5515

    Type: Location

  • 10051 Simonson Rd Unit 3

    Harrison, OH 450302001

    Phone: (513) 452-4945

    Type: Location

  • 74 FAWN DR

    HARRISON, OH 450302073

    Phone: (513) 910-7574

    Type: Mailing

  • 5854 CINEMA DR

    MILFORD, OH 451501507

    Phone: (513) 283-8060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $948.

Total Amount is formed as General ($948) + Research ($0) + Ownership ($0) = $948.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Alcon Vision LLC ($317).

Total Amount

$948

General + Research + Ownership

Payments

12

Total payment records

General Amount

$948

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2022-06-21

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
I20220621000611IOptometryOHTBD

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 system7676$0
99213Established patient office or other outpatient visit, 20-29 minutes7463$0
92004New patient complete exam of visual system5252$0
View full utilization report →

Insurance plans in this area (ZIP 45255)

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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: 3577555614View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
-OH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the standard ID for DR. MIRANDA LYNN PACKARD (OD) in the U.S.?
In the U.S., DR. MIRANDA LYNN PACKARD (OD) is identified by NPI 1003554791.
Is DR. MIRANDA LYNN PACKARD (OD)'s NPI status active today?
Active status means DR. MIRANDA LYNN PACKARD (OD)'s NPI record is not deactivated in the public file.
What does the directory say DR. MIRANDA LYNN PACKARD (OD) does?
Insurance directories may phrase it differently, but here DR. MIRANDA LYNN PACKARD (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MIRANDA LYNN PACKARD (OD) in Cincinnati, Ohio?
For routing, start with Cincinnati, Ohio for DR. MIRANDA LYNN PACKARD (OD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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