MITCHELL JAY STYCZYNSKI (OD) – Optometrist, NPI 1336711373
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
114 OPTOMETRY in VT
Provider Addresses for MITCHELL JAY STYCZYNSKI (OD)
163 Veterans Dr
White River Junction, VT 050090001
Phone: (802) 295-9363
Type: Location
45 LYME RD
STE 201
HANOVER, NH 037551260
Phone: (603) 643-2140
Type: Mailing
45 LYME RD STE 201
HANOVER, NH 037551260
Phone: (603) 643-2140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($27).
Total Amount
$67
General + Research + Ownership
Payments
4
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $27 |
| CooperVision Inc. | $25 |
| Bausch & Lomb Americas Inc. | $14 |
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: 2022-06-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220624001429 | I | Optometry | NH | 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 | 187 | 187 | $0 |
| 92004 | New patient complete exam of visual system | 76 | 76 | $0 |
| 92133 | Imaging of optic nerve | 45 | 42 | $0 |
| 92134 | Imaging of retina | 40 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 36 | $0 |
Insurance plans in this area (ZIP 05009)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.