DR. MEREDITH RENEA KIESS (O. D.) – Optometrist, NPI 1316395874

DR. MEREDITH RENEA KIESS (O. D.) is a healthcare provider. based in Mansfield, Ohio. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 6471 (OH). The NPI Number for DR. MEREDITH RENEA KIESS (O. D.) is 1316395874

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEREDITH RENEA KIESS (O. D.)
NPI
1316395874
Phone
(419) 756-0500
Address
1164 Lexington Ave
Enumeration Date
25 May 2016
Last Update Date
10 October 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7403891300
Graduation Year
2016 (10 years ago)
PAC ID
6709813009
Group Practice PAC ID
3870712961
Professional Enrollment ID
I20170216002141
Address ID
OH433025654MA150XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. MEREDITH RENEA KIESS (O. D.)

  • 1164 Lexington Ave

    Mansfield, OH 449072254

    Phone: (419) 756-0500

    Type: Location

  • 15933 CLAYTON RD STE 201

    BALLWIN, MO 630112172

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 1725, Brice Road, Reynoldsburg, Truro Township, Ohio, 43068, United States

    REYNOLDSBURG, OH 430682705

    Phone: (614) 861-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-02-28 • Largest payer in this snapshot: Alcon Vision LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$27
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: 2017-02-16

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
I20170216002141IOptometryOHTBD

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 44907)

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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: 3870712961View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do payers reference DR. MEREDITH RENEA KIESS (O. D.)?
For DR. MEREDITH RENEA KIESS (O. D.), use NPI 1316395874 as the unique 10-digit identifier.
Is there an active status for DR. MEREDITH RENEA KIESS (O. D.)?
For scheduling context, DR. MEREDITH RENEA KIESS (O. D.) is shown as active in the registry.
What clinical focus is listed for DR. MEREDITH RENEA KIESS (O. D.)?
At a glance, DR. MEREDITH RENEA KIESS (O. D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MEREDITH RENEA KIESS (O. D.) located near Mansfield?
DR. MEREDITH RENEA KIESS (O. D.) currently maps to Mansfield, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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