WALLACE R RYNE (O.D.) – Optometrist, NPI 1164421319
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,128 OPTOMETRY in TX
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Provider Addresses for WALLACE R RYNE (O.D.)
6452, Alexandra Meadows Drive, Fort Worth, Tarrant County, Texas, 76131, United States
FORT WORTH, TX 761311221
Phone: (817) 232-3203
Type: Mailing
East Northwest Parkway, Southlake, Tarrant County, Texas, 76051, United States
SOUTHLAKE, TX 760926510
Phone: (817) 329-2700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: RxSight Inc ($52).
Total Amount
$93
General + Research + Ownership
Payments
3
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RxSight Inc | $52 |
| Alcon Vision LLC | $41 |
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: 2004-12-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041227000479 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 24 | 21 | $0 |
| 92014 | Established patient complete exam of visual system | 16 | 16 | $0 |
Insurance plans in this area (ZIP 76131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TX | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 19 | 15 |
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