DR. PRARTHANA AGRAWAL (O.D.) – Optometrist, NPI 1013355288
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
Provider Addresses for DR. PRARTHANA AGRAWAL (O.D.)
5500 WISSAHICKON AVE
APT M111C
PHILADELPHIA, PA 191445653
Phone: (215) 200-9536
Type: Mailing
690 W DEKALB PIKE
LENSCRAFTERS
KING OF PRUSSIA, PA 194062943
Phone: (610) 337-4114
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($25).
Total Amount
$49
General + Research + Ownership
Payments
2
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $25 |
| Johnson & Johnson Vision Care, Inc. | $24 |
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: 2026-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20161026000548 | I | Optometry | PA | TBD |
| I20200818002193 | I | Optometry | NJ | TBD |
| I20221110000126 | I | Optometry | TX | TBD |
| I20231116000917 | I | Optometry | WI | TBD |
| I20260107002779 | I | Optometry | NY | 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 19144)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WI | |
| Physical Therapist In Private Practice | WI | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| O P T O M E T R Y | MD | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI |
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