LIANE CARLEY PRYTULA (O.D.) – Optometrist, NPI 1669804753

LIANE CARLEY PRYTULA (O.D.) is a healthcare provider. based in Coventry, Rhode Island. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODTG00599 (RI). The NPI Number for LIANE CARLEY PRYTULA (O.D.) is 1669804753

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LIANE CARLEY PRYTULA (O.D.)
NPI
1669804753
Phone
(401) 823-8200
Address
1193 TIOGUE AVE
Enumeration Date
31 July 2013
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4018238200
Graduation Year
2013 (13 years ago)
PAC ID
5092940882
Group Practice PAC ID
5294090510
Professional Enrollment ID
I20131104000172
Address ID
RI028166170CO1193XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

225 OPTOMETRY in RI

Provider Addresses for LIANE CARLEY PRYTULA (O.D.)

  • 1193 TIOGUE AVE

    COVENTRY, RI 028166170

    Phone: (401) 823-8200

    Type: Location

  • 1193 TIOGUE AVE UNIT 2

    COVENTRY, RI 028166122

    Phone: (401) 823-8200

    Fax: (401) 826-8708

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($134).

Total Amount

$262

General + Research + Ownership

Payments

9

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-11-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131104000172IOptometryRITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7658$0
92014Established patient complete exam of visual system5858$0
92250Photography of the retina5150$0
99214Established patient office or other outpatient visit, 30-39 minutes3927$0
92134Imaging of retina3632$0
View full utilization report →

Insurance plans in this area (ZIP 02816)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294090510View full group profile
NameSpecialtyState
-RI
O P T O M E T R YRI
O P T O M E T R YRI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up LIANE CARLEY PRYTULA (O.D.) by NPI?
Use NPI 1669804753 when you need to reference LIANE CARLEY PRYTULA (O.D.) in forms, claims, or directories.
Is LIANE CARLEY PRYTULA (O.D.)'s NPI currently valid?
The extract we use shows LIANE CARLEY PRYTULA (O.D.) as active.
What does LIANE CARLEY PRYTULA (O.D.) treat or focus on?
Patients typically see LIANE CARLEY PRYTULA (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for LIANE CARLEY PRYTULA (O.D.)?
We surface Coventry, Rhode Island for LIANE CARLEY PRYTULA (O.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

860, Tiogue Avenue, Spring Lake, Tiogue, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1033151295
860, Tiogue Avenue, Spring Lake, Tiogue, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1932141181
1193, Tiogue Avenue, Spring Lake, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1366554420
1171 Main St
NPI: 1730278227
1193, Tiogue Avenue, Spring Lake, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1902963457
112, Bramble Bush Road, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1891985149
1193, Tiogue Avenue, Spring Lake, Coventry, Kent County, Rhode Island, 02816, United States
NPI: 1851547632
860 TIOGUE AVE
NPI: 1487974671
12517 DEXTER WAY
NPI: 1942602263