DR. ROBERT LYNN SIMMONS (O.D.) – Optometrist, NPI 1689633877

DR. ROBERT LYNN SIMMONS (O.D.) is a healthcare provider. based in American fork, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 114653-9934 (UT). The NPI Number for DR. ROBERT LYNN SIMMONS (O.D.) is 1689633877

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT LYNN SIMMONS (O.D.)
NPI
1689633877
Phone
(801) 756-9627
Address
12 N 1100 E
Enumeration Date
17 March 2006
Last Update Date
11 October 2011

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8017569627
Graduation Year
1992 (34 years ago)
PAC ID
0648280263
Group Practice PAC ID
3577464908
Professional Enrollment ID
I20060427000044
Address ID
UT840032952AM12XXX1100300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for DR. ROBERT LYNN SIMMONS (O.D.)

  • 12, North County Boulevard, American Fork, Utah County, Utah, 84062, United States

    AMERICAN FORK, UT 840032952

    Phone: (801) 756-9627

    Fax: (801) 763-0126

    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 21 Open Payments records for all available years, with a total value of $1,399.

Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: CooperVision Inc. ($560).

Total Amount

$1,399

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,399

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

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: 2006-04-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060427000044IOptometryUTTBD

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
92014Established patient complete exam of visual system5150$0
92004New patient complete exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 3577464908View full group profile
NameSpecialtyState
O P H T H A L M O L O G YUT
-UT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

Does DR. ROBERT LYNN SIMMONS (O.D.) have a public NPI I can cite?
Public records show DR. ROBERT LYNN SIMMONS (O.D.) under NPI 1689633877.
Does the public listing show DR. ROBERT LYNN SIMMONS (O.D.) as active?
DR. ROBERT LYNN SIMMONS (O.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. ROBERT LYNN SIMMONS (O.D.)?
NPPES ties DR. ROBERT LYNN SIMMONS (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ROBERT LYNN SIMMONS (O.D.)?
DR. ROBERT LYNN SIMMONS (O.D.) is associated with American Fork, Utah in the same public data insurers reference.
Why is information missing for DR. ROBERT LYNN SIMMONS (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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