DR. ELIZABETH PALLANTE (OD) – Optometrist, NPI 1053920140

DR. ELIZABETH PALLANTE (OD) is a healthcare provider. based in Memphis, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3622 (TN). The NPI Number for DR. ELIZABETH PALLANTE (OD) is 1053920140

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH PALLANTE (OD)
NPI
1053920140
Phone
(901) 722-3331
Address
1245 MADISON AVE
Enumeration Date
24 July 2020
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172622020
Graduation Year
2020 (6 years ago)
PAC ID
1759707946
Group Practice PAC ID
1850294125
Professional Enrollment ID
I20211022001252
Address ID
MA022151220BO930XXAVEX300

Contacts

Secure Messaging
epallante@sco.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

957 OPTOMETRY in TN

Provider Addresses for DR. ELIZABETH PALLANTE (OD)

  • 1245 MADISON AVE

    MEMPHIS, TN 381042211

    Phone: (901) 722-3331

    Fax: (901) 722-3388

    Type: Mailing

  • 930 COMMONWEALTH AVE

    BOSTON, MA 022151274

    Phone: (617) 262-2020

    Fax: (617) 236-6323

    Type: Mailing

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: 2021-10-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200818004228IOptometryTNTBD
I20211022001252IOptometryMATBD

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 38104)

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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: 1850294125View full group profile
NameSpecialtyState
O P T O M E T R YMA
-NJ
O P T O M E T R YMA
O P T O M E T R YSD
O P T O M E T R YNY
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YNY
O P T O M E T R YNY
O P T O M E T R YMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ELIZABETH PALLANTE (OD)'s NPI?
Yes. DR. ELIZABETH PALLANTE (OD) is listed with NPI 1053920140 in the public NPI dataset.
Can I rely on DR. ELIZABETH PALLANTE (OD) being an active provider?
As of the registry snapshot, DR. ELIZABETH PALLANTE (OD) is marked active.
What is DR. ELIZABETH PALLANTE (OD)'s specialty?
The listing groups DR. ELIZABETH PALLANTE (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ELIZABETH PALLANTE (OD) on a map?
Expect Memphis, Tennessee as a primary anchor for DR. ELIZABETH PALLANTE (OD) unless the record lists multiple sites.
Why does DR. ELIZABETH PALLANTE (OD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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