DR. DONNA BLOCHAVIAK GOUKLER (O.D.) – Optometrist, NPI 1043537863
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. DONNA BLOCHAVIAK GOUKLER (O.D.)
4183 MACKENZIE COURT
MASON, OH 45040
Phone: (678) 360-4073
Fax: (678) 513-3111
Type: Mailing
4183 MACKENZIE CT
MASON, OH 45040
Phone: (678) 360-4073
Fax: (678) 513-3111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,225.
Total Amount is formed as General ($1,225) + Research ($0) + Ownership ($0) = $1,225.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: CooperVision Inc. ($1,122).
Total Amount
$1,225
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $1,122 |
| Dompe US, Inc. | $103 |
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: 2025-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240221000827 | I | Optometry | OH | TBD |
| I20240429002054 | I | Optometry | NY | TBD |
| I20251217000252 | I | Optometry | FL | 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 45040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | GA | |
| - | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
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