ALEXANDRA GUTIERREZ (OD) – Optometrist, NPI 1316431737
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
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Provider Addresses for ALEXANDRA GUTIERREZ (OD)
West Haven, Midland, Midland County, Texas, 79707-3166, United States
WEST HAVEN, UT 844016824
Phone: (801) 732-8200
Fax: (801) 732-8213
Type: Mailing
1325 DRY CREEK DR STE 104
LONGMONT, CO 805037732
Phone: (303) 776-1620
Fax: (720) 204-2028
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $470.
Total Amount is formed as General ($470) + Research ($0) + Ownership ($0) = $470.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($162).
Total Amount
$470
General + Research + Ownership
Payments
13
Total payment records
General Amount
$470
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-05-05
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 |
|---|---|---|---|---|
| I20230505002571 | I | Optometry | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO |
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