MICHAEL J WOLOSCHAK (OD) – Optometrist, NPI 1073659512

MICHAEL J WOLOSCHAK (OD) is a healthcare provider. based in Austintown, Ohio. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 3579T706 (OH). The NPI Number for MICHAEL J WOLOSCHAK (OD) is 1073659512

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J WOLOSCHAK (OD)
NPI
1073659512
Phone
(330) 799-3937
Address
2670 SOUTH RACCOON STE 1
Enumeration Date
30 January 2007
Last Update Date
21 March 2008

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
6507956703
Professional Enrollment ID
I20071212000006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL J WOLOSCHAK (OD)

  • 2670 SOUTH RACCOON STE 1

    AUSTINTOWN, OH 445155344

    Phone: (330) 799-3937

    Fax: (330) 799-1557

    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: 2007-12-12

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
I20071212000006IOptometryOHTBD

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 44515)

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Reviews

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Frequently asked questions

How do I look up MICHAEL J WOLOSCHAK (OD) by NPI?
Use NPI 1073659512 when you need to reference MICHAEL J WOLOSCHAK (OD) in forms, claims, or directories.
Is MICHAEL J WOLOSCHAK (OD) active in the national directory?
MICHAEL J WOLOSCHAK (OD)'s public NPI profile is in an active state.
Can you summarize MICHAEL J WOLOSCHAK (OD)'s specialty in plain language?
Clinically, the directory lists MICHAEL J WOLOSCHAK (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for MICHAEL J WOLOSCHAK (OD)?
We surface Austintown, Ohio for MICHAEL J WOLOSCHAK (OD) based on available NPPES addresses.
What if Austintown, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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