LUC TADEUSZ WAKED (OD) – Optometrist, NPI 1053154856

LUC TADEUSZ WAKED (OD) is a healthcare provider. based in Crosby, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11098TG (TX). The NPI Number for LUC TADEUSZ WAKED (OD) is 1053154856

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
LUC TADEUSZ WAKED (OD)
NPI
1053154856
Phone
(281) 328-2020
Address
14700 Fm 2100 Rd Ste 3
Enumeration Date
18 June 2024
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2814277374
Graduation Year
2024 (2 years ago)
PAC ID
1153827951
Group Practice PAC ID
4486985678
Professional Enrollment ID
I20251001001106
Address ID
TX775207736BA301XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for LUC TADEUSZ WAKED (OD)

  • 14700 Fm 2100 Rd Ste 3

    Crosby, TX 775329162

    Phone: (281) 328-2020

    Type: Location

  • 301 W TEXAS AVE

    BAYTOWN, TX 775207736

    Phone:

    Type: Mailing

  • 13550 Lakes Of Champions Blvd

    Mont Belvieu, TX 775232807

    Phone: (832) 981-7276

    Type: Location

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: 2025-10-01

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
I20251001001106IOptometryTXTBD

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 77532)

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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: 4486985678View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to LUC TADEUSZ WAKED (OD)?
NPI 1053154856 is assigned to LUC TADEUSZ WAKED (OD) under the national enumeration system.
Is LUC TADEUSZ WAKED (OD)'s NPI currently valid?
The extract we use shows LUC TADEUSZ WAKED (OD) as active.
Can you summarize LUC TADEUSZ WAKED (OD)'s specialty in plain language?
Clinically, the directory lists LUC TADEUSZ WAKED (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for LUC TADEUSZ WAKED (OD)?
We surface Crosby, Texas for LUC TADEUSZ WAKED (OD) based on available NPPES addresses.
What if Crosby, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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