LU'AIE HUSAM DIA (STUDENT) – Optometrist, NPI 1194576215
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
685 OPTOMETRY in OK
Provider Addresses for LU'AIE HUSAM DIA (STUDENT)
772 NE AUTUMNCREEK WAY APT O208
HILLSBORO, OR 970068743
Phone: (806) 674-7661
Type: Mailing
1001 N GRAND AVE
TAHLEQUAH, OK 744647017
Phone: (918) 444-4031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($162).
Total Amount
$175
General + Research + Ownership
Payments
4
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $162 |
| Tarsus Pharmaceuticals, Inc. | $14 |
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: 2025-08-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250131000788 | I | Optometry | TX | TBD |
| I20250827004179 | I | Optometry | WY | 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 97006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WY | |
| O P T O M E T R Y | WY | |
| - | WY | |
| O P T O M E T R Y | WY | |
| O P T O M E T R Y | WY | |
| O P T O M E T R Y | WY |
Reviews
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