DR. AMY KEOPRASEUTH (O.D.) – Optometrist, NPI 1265923247
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. AMY KEOPRASEUTH (O.D.)
Nonconnah Boulevard, Memphis, Shelby County, Tennessee, 38132, United States
MEMPHIS, TN 381322111
Phone: (901) 523-8990
Fax: (901) 522-3436
Type: Location
87, Tiffany Road, East Hartford, Hartford County, Connecticut, 06108, United States
EAST HARTFORD, CT 061081143
Phone: (239) 572-4918
Type: Mailing
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone: (860) 274-7576
Type: Mailing
997 MAIN ST
WATERTOWN, CT 067952914
Phone: (860) 274-7576
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Alcon Vision LLC ($175).
Total Amount
$320
General + Research + Ownership
Payments
5
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $175 |
| CooperVision Inc. | $145 |
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: 2022-03-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220307001251 | I | Optometry | CT | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 31 | 20 | $0 |
| 92014 | Established patient complete exam of visual system | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 38132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | AZ | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | AZ | |
| - | CO |
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