DR. KARL ETHAN CUNNINGHAM (OD) – Optometrist, NPI 1740700913

DR. KARL ETHAN CUNNINGHAM (OD) is a healthcare provider. based in Saint albans, Vermont. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 030.0131034 (VT). The NPI Number for DR. KARL ETHAN CUNNINGHAM (OD) is 1740700913

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARL ETHAN CUNNINGHAM (OD)
NPI
1740700913
Phone
(802) 524-9561
Address
128 FISHER POND RD
Enumeration Date
20 June 2017
Last Update Date
11 March 2022

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6032960235
Graduation Year
2017 (9 years ago)
PAC ID
1052681608
Group Practice PAC ID
2961810981
Professional Enrollment ID
I20220318000930
Address ID
NH031011505MA1093XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

114 OPTOMETRY in VT

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Provider Addresses for DR. KARL ETHAN CUNNINGHAM (OD)

  • 128, Fisher Pond Road, Hill Farm Estates, Saint Albans, Franklin County, Vermont, 05478, United States

    SAINT ALBANS, VT 054786058

    Phone: (802) 524-9561

    Type: Location

  • 1093 ELM ST

    MANCHESTER, NH 031011505

    Phone: (603) 296-0235

    Fax: (603) 296-0242

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $872.

Total Amount is formed as General ($872) + Research ($0) + Ownership ($0) = $872.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($430).

Total Amount

$872

General + Research + Ownership

Payments

10

Total payment records

General Amount

$872

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2022-03-18

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
I20220318000930IOptometryNHTBD

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 system2525$0
View full utilization report →

Insurance plans in this area (ZIP 05478)

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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: 2961810981View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YNH
O P T O M E T R YNH
O P T O M E T R YNH
O P T O M E T R YNH
O P T O M E T R YVA
O P T O M E T R YMA
O P T O M E T R YPA
O P T O M E T R YNH
O P T O M E T R YNH

Reviews

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Frequently asked questions

What is the registry number for DR. KARL ETHAN CUNNINGHAM (OD)?
The registry entry for DR. KARL ETHAN CUNNINGHAM (OD) shows NPI 1740700913.
Should I treat DR. KARL ETHAN CUNNINGHAM (OD) as an active provider?
Patients and plans typically see DR. KARL ETHAN CUNNINGHAM (OD) as active in the national extract.
Which specialty label fits DR. KARL ETHAN CUNNINGHAM (OD)?
NPPES ties DR. KARL ETHAN CUNNINGHAM (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KARL ETHAN CUNNINGHAM (OD)?
The directory associates DR. KARL ETHAN CUNNINGHAM (OD) with Saint Albans, Vermont. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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