DR. MARY C LACK (OD) – Optometrist, NPI 1801882535
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. MARY C LACK (OD)
Conservatory Drive, Austin Estates, Barberton, Summit County, Ohio, 44203, United States
BARBERTON, OH 442034281
Phone: (330) 745-4404
Fax: (330) 753-9162
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)
CMS reports 28 Open Payments records for all available years, with a total value of $1,128.
Total Amount is formed as General ($1,128) + Research ($0) + Ownership ($0) = $1,128.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($328).
Total Amount
$1,128
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $328 |
| Johnson & Johnson Vision Care, Inc. | $177 |
| Tarsus Pharmaceuticals, Inc. | $157 |
| Amgen Inc. | $152 |
| CooperVision Inc. | $130 |
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: 2010-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100408000088 | I | Optometry | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 186 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 63 | $0 |
| 92133 | Imaging of optic nerve | 56 | 55 | $0 |
| 92083 | Exam of visual field with extended testing | 46 | 44 | $0 |
Insurance plans in this area (ZIP 44203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | IN | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH |
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