DR. MICHELLE LIZARDI RIVERA (O.D.) – Optometrist, NPI 1043434533
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for DR. MICHELLE LIZARDI RIVERA (O.D.)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 191302908
Phone: (904) 296-0098
Type: Mailing
7205 BONNEVAL RD
JACKSONVILLE, FL 322567565
Phone: (904) 296-0098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: CooperVision Inc. ($119).
Total Amount
$119
General + Research + Ownership
Payments
1
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $119 |
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: 2017-02-21
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 |
|---|---|---|---|---|
| I20170221000049 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 294 | 190 | $0 |
| 92014 | Established patient complete exam of visual system | 241 | 223 | $0 |
| 92004 | New patient complete exam of visual system | 158 | 158 | $0 |
| 92250 | Photography of the retina | 142 | 142 | $0 |
| 92012 | Established patient problem focused exam of visual system | 119 | 87 | $0 |
Insurance plans in this area (ZIP 19130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | NJ | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | NC | |
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | OH |
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