DR. ADAM J FANNIN (O.D.) – Optometrist, NPI 1043567332
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for DR. ADAM J FANNIN (O.D.)
PO BOX 207170
DALLAS, TX 753207156
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
3600 E US 22 AND 3
MORROW, OH 451529688
Phone: (513) 899-2015
Fax: (513) 899-4628
Type: Location
8680 Beechmont Ave
Cincinnati, OH 452554710
Phone: (513) 388-0204
Type: Location
540 Harry Sauner Rd
Hillsboro, OH 451338298
Phone: (937) 840-0812
Type: Location
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Fax: (859) 344-5552
Type: Mailing
374 NORTHSIDE DR
BATESVILLE, IN 470067038
Phone: (812) 496-8782
Fax: (812) 539-1800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($157).
Total Amount
$213
General + Research + Ownership
Payments
12
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $157 |
| Oyster Point Pharma, Inc. | $37 |
| Alcon Vision LLC | $20 |
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: 2025-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20121212000589 | I | Optometry | OH | TBD |
| I20240816000521 | I | Optometry | IN | TBD |
| I20240821000544 | I | Optometry | KY | TBD |
| I20251119001631 | I | Nurse Practitioner | WV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| - | FL | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | KY |
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