DR. DANA ALAN GRIST (O.D.) – Optometrist, NPI 1033148135

DR. DANA ALAN GRIST (O.D.) is a healthcare provider. based in Johnson city, Tennessee. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. ODT675 (TN). The NPI Number for DR. DANA ALAN GRIST (O.D.) is 1033148135

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA ALAN GRIST (O.D.)
NPI
1033148135
Phone
(423) 928-1010
Address
1207 N ROAN ST
Enumeration Date
1 July 2006
Last Update Date
18 July 2012

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
9335153519
Professional Enrollment ID
I20060126000472
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DANA ALAN GRIST (O.D.)

  • 1207, North Roan Street, Bel Air One, Johnson City, Washington County, Tennessee, 37601, United States

    JOHNSON CITY, TN 376013974

    Phone: (423) 928-1010

    Fax: (423) 928-9090

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-01-26

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
I20060126000472IOptometryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37601)

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Reviews

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Frequently asked questions

What federal number belongs to DR. DANA ALAN GRIST (O.D.)?
The federal identifier for DR. DANA ALAN GRIST (O.D.) is NPI 1033148135.
Does this profile mean DR. DANA ALAN GRIST (O.D.) is currently active?
Yes — DR. DANA ALAN GRIST (O.D.) appears active in the national provider directory.
Does DR. DANA ALAN GRIST (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. DANA ALAN GRIST (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. DANA ALAN GRIST (O.D.)'s primary listing?
We display Johnson City, Tennessee because that is what the record indicates for DR. DANA ALAN GRIST (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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