DR. ALEXANDRA MARIE SAMUELSON (OD) – Optometrist, NPI 1902336274
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 DR. ALEXANDRA MARIE SAMUELSON (OD)
135 W RUSSET GROVE CIR
CONROE, TX 773843827
Phone: (913) 522-6358
Type: Mailing
402, Sawdust Road, Sanford, Madison County, Georgia, 30646, United States
SPRING, TX 773802243
Phone: (281) 363-2020
Type: Location
4801 S CLIFF AVE STE 100
INDEPENDENCE, MO 640556954
Phone: (816) 478-1230
Type: Mailing
670 S COMMERCIAL ST
HARRISONVILLE, MO 647011653
Phone: (816) 478-1230
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($273).
Total Amount
$289
General + Research + Ownership
Payments
6
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $273 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $16 |
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: 2021-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210608001105 | I | Optometry | KS | TBD |
| I20210608001523 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 137 | 135 | $0 |
| 92134 | Imaging of retina | 54 | 48 | $0 |
| 92012 | Established patient problem focused exam of visual system | 37 | 31 | $0 |
| 92004 | New patient complete exam of visual system | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 77384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| - | MO | |
| O P H T H A L M O L O G Y | KY | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO |
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