DALE SOULEYRETTE (OD) – Optometrist, NPI 1205991791
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
700 OPTOMETRY in KY
Provider Addresses for DALE SOULEYRETTE (OD)
West Avenue, The Bronx, Bronx County, New York, 10462, United States
SUITE 6
SAN ANTONIO, TX 782131370
Phone: (210) 524-6663
Fax: (210) 524-6587
Type: Mailing
1609 N Dixie Hwy
Elizabethtown, KY 427016473
Phone: (270) 765-7372
Fax: (270) 737-3936
Type: Location
544 Conestoga Pkwy Ste 17
Shepherdsville, KY 401655677
Phone: (502) 955-2020
Fax: (502) 736-4488
Type: Location
1709 N DIXIE AVE STE 101
ELIZABETHTOWN, KY 427019496
Phone: (270) 765-2020
Fax: (502) 765-4482
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 $592.
Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: CooperVision Inc. ($308).
Total Amount
$592
General + Research + Ownership
Payments
12
Total payment records
General Amount
$592
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $308 |
| Alcon Vision LLC | $271 |
| Johnson & Johnson Vision Care, Inc. | $13 |
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: 2009-06-24
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 |
|---|---|---|---|---|
| I20090624000512 | I | Optometry | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 110 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 78213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | NY | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | IN | |
| - | KY | |
| O P T O M E T R Y | AE | |
| - | IN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | OH |
Reviews
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