EDWARD L GRIMES (O.D.) – Optometrist, NPI 1003917030

EDWARD L GRIMES (O.D.) is a healthcare provider. based in San angelo, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3472TG (TX). The NPI Number for EDWARD L GRIMES (O.D.) is 1003917030

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD L GRIMES (O.D.)
NPI
1003917030
Phone
(325) 658-1511
Address
PO BOX 22000
Enumeration Date
25 September 2006
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3259448531
Graduation Year
1985 (41 years ago)
PAC ID
9830238674
Group Practice PAC ID
7416929468
Professional Enrollment ID
I20091208000137
Address ID
TX769045521SA1721XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for EDWARD L GRIMES (O.D.)

  • PO BOX 22000

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Fax: (325) 481-2028

    Type: Mailing

  • 4450, Sunset Drive, Sunset, San Angelo, Tom Green County, Texas, 76901, United States

    SAN ANGELO, TX 769015611

    Phone: (325) 481-2286

    Fax: (325) 481-2028

    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 $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: ABBVIE INC. ($122).

Total Amount

$147

General + Research + Ownership

Payments

5

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$122
Alcon Vision LLC$25
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: 2009-12-08

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
I20091208000137IOptometryTXTBD

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
92014Established patient complete exam of visual system497495$0
99212Established patient office or other outpatient visit, 10-19 minutes129100$0
92004New patient complete exam of visual system121121$0
99213Established patient office or other outpatient visit, 20-29 minutes7160$0
92133Imaging of optic nerve6346$0
View full utilization report →

Insurance plans in this area (ZIP 76902)

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Provider's Procedures

EDWARD L GRIMES (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92083Measurement of field of vision during daylight conditions1717
OPTOMETRYTX92134Diagnostic imaging of retina9287

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: 7416929468View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for EDWARD L GRIMES (O.D.)?
EDWARD L GRIMES (O.D.) — NPI 1003917030 — is the standard way to identify this listing.
Does CMS list EDWARD L GRIMES (O.D.) as active?
Yes — EDWARD L GRIMES (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes EDWARD L GRIMES (O.D.)?
For research purposes, treat EDWARD L GRIMES (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect EDWARD L GRIMES (O.D.) on a map?
Expect San Angelo, Texas as a primary anchor for EDWARD L GRIMES (O.D.) unless the record lists multiple sites.
Is the information about EDWARD L GRIMES (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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