CAITLIN WALLACE (OD) – Optometrist, NPI 1639731250
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
672 OPTOMETRY in OR
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Provider Addresses for CAITLIN WALLACE (OD)
Market Street, Lebanon, Laclede County, Missouri, 65536, United States
LEBANON, OR 973552396
Phone: (541) 451-1144
Fax: (541) 451-1785
Type: Mailing
4386 MAPLE DR
WALNUTPORT, PA 180889715
Phone: (610) 390-0752
Type: Mailing
175 INTERCHANGE RD
LEHIGHTON, PA 182352824
Phone: (610) 349-9445
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 $374.
Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($249).
Total Amount
$374
General + Research + Ownership
Payments
4
Total payment records
General Amount
$374
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $249 |
| Dompe US, Inc. | $108 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $16 |
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: 2022-07-20
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20220302000756 | I | Optometry | CO | TBD |
| I20220720003235 | I | Optometry | PA | 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 97355)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| - | AZ | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA |
Reviews
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