MR. SEAN M. SUMMERS (OD) – Optometrist, NPI 1679702096

MR. SEAN M. SUMMERS (OD) is a healthcare provider. based in Texarkana, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 7424T (TX). The NPI Number for MR. SEAN M. SUMMERS (OD) is 1679702096

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN M. SUMMERS (OD)
NPI
1679702096
Phone
(903) 792-3705
Address
4504 TEXAS BLVD
Enumeration Date
7 July 2009
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033295051
Graduation Year
2009 (17 years ago)
PAC ID
4486700754
Group Practice PAC ID
8628265949
Professional Enrollment ID
I20090929000236
Address ID
TX755032159TE4109XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for MR. SEAN M. SUMMERS (OD)

  • 4504, Texas Boulevard, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755033027

    Phone: (903) 792-3705

    Fax: (903) 794-5008

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $677.

Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($578).

Total Amount

$677

General + Research + Ownership

Payments

9

Total payment records

General Amount

$677

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-09-29

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
I20090929000236IOptometryTXTBD

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
92012Established patient problem focused exam of visual system8985$0
92250Photography of the retina4846$0
92083Exam of visual field with extended testing4745$0
92002New patient problem focused exam of visual system4444$0
92014Established patient complete exam of visual system3938$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 8628265949View 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 NPI should I save for MR. SEAN M. SUMMERS (OD)?
Save NPI 1679702096 if you need a stable reference for MR. SEAN M. SUMMERS (OD).
Is MR. SEAN M. SUMMERS (OD) currently active in the NPI registry?
CMS-published data lists MR. SEAN M. SUMMERS (OD) as an active registrant.
Can you summarize MR. SEAN M. SUMMERS (OD)'s specialty in plain language?
Clinically, the directory lists MR. SEAN M. SUMMERS (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for MR. SEAN M. SUMMERS (OD)?
We surface Texarkana, Texas for MR. SEAN M. SUMMERS (OD) based on available NPPES addresses.
What if Texarkana, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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