JAKE LEWIS (OD) – Optometrist, NPI 1629635354
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
957 OPTOMETRY in TN
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Provider Addresses for JAKE LEWIS (OD)
1502, Brayton Avenue, Dyersburg, Dyer County, Tennessee, 38024, United States
DYERSBURG, TN 380243159
Phone: (731) 285-5411
Fax: (731) 285-8481
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)
CMS reports 6 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Alcon Vision LLC ($63).
Total Amount
$112
General + Research + Ownership
Payments
6
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $63 |
| Optos, Inc. | $18 |
| Oyster Point Pharma, Inc. | $17 |
| Johnson & Johnson Vision Care, Inc. | $14 |
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: 2019-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190805001684 | I | Optometry | TN | TBD |
| I20191016002142 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,530 | 12 | $0 |
| 92014 | Established patient complete exam of visual system | 116 | 107 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 25 | $0 |
| 92083 | Exam of visual field with extended testing | 19 | 14 | $0 |
| 92250 | Photography of the retina | 19 | 19 | $0 |
Insurance plans in this area (ZIP 38024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN |
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