DR. CARISSA VILLAFLOR BEAUDREAU (OD) – Optometrist, NPI 1154933638
Optometrist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
Provider Addresses for DR. CARISSA VILLAFLOR BEAUDREAU (OD)
1901 NW EXPRESSWAY STE 2058
OKLAHOMA CITY, OK 731189229
Phone: (405) 924-5396
Type: Location
1901 NW EXPWY ST STE 1082
OKLAHOMA CITY, OK 731189224
Phone: (405) 848-8845
Type: Mailing
5600 N PORTLAND AVE
OKLAHOMA CITY, OK 731122023
Phone: (405) 943-4413
Fax: (405) 942-0115
Type: Mailing
13200 N WESTERN AVE STE A
OKLAHOMA CITY, OK 731141434
Phone: (405) 832-5117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $4,221.
Total Amount is formed as General ($2,164) + Research ($2,057) + Ownership ($0) = $4,221.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($2,601).
Total Amount
$4,221
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,164
General payments
Research Amount
$2,057
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,601 |
| Alcon Vision LLC | $471 |
| Bausch & Lomb Americas Inc. | $363 |
| Glaukos Corporation | $231 |
| Harrow Eye, LLC | $133 |
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: 2021-02-25
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 |
|---|---|---|---|---|
| I20210225002228 | I | Optometry | OK | 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 | 224 | 212 | $0 |
| 83861 | Microfluid analysis of tears | 208 | 87 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 199 | 178 | $0 |
| 92133 | Imaging of optic nerve | 148 | 143 | $0 |
| 92083 | Exam of visual field with extended testing | 141 | 136 | $0 |
Insurance plans in this area (ZIP 73118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OK | |
| O P T O M E T R Y | OK | |
| - | OK |
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