JONATHAN GRAVLEE (OD) – Optometrist, NPI 1245886837

JONATHAN GRAVLEE (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-E25-TA-B50 (AL). The NPI Number for JONATHAN GRAVLEE (OD) is 1245886837

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN GRAVLEE (OD)
NPI
1245886837
Phone
Not provided
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
10 August 2019
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2054093460
Graduation Year
2019 (7 years ago)
PAC ID
0244561413
Group Practice PAC ID
0840559878
Professional Enrollment ID
I20191021000461
Address ID
AL354045829TU1701XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for JONATHAN GRAVLEE (OD)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone:

    Type: Mailing

  • 1686 MONTGOMERY HWY

    HOOVER, AL 352164906

    Phone: (205) 979-2020

    Fax: (205) 978-6487

    Type: Location

  • REEDS Jewelers - University Mall, 1701, McFarland Boulevard East, University Mall, Tuscaloosa, Tuscaloosa County, Alabama, 35404, United States

    TUSCALOOSA, AL 354045824

    Phone:

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 136 Open Payments records for all available years, with a total value of $4,363.

Total Amount is formed as General ($4,363) + Research ($0) + Ownership ($0) = $4,363.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Alcon Vision LLC ($901).

Total Amount

$4,363

General + Research + Ownership

Payments

136

Total payment records

General Amount

$4,363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-10-21

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
I20191021000461IOptometryALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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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: 0840559878View full group profile

Reviews

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Frequently asked questions

What is the standard ID for JONATHAN GRAVLEE (OD) in the U.S.?
In the U.S., JONATHAN GRAVLEE (OD) is identified by NPI 1245886837.
Does the public listing show JONATHAN GRAVLEE (OD) as active?
JONATHAN GRAVLEE (OD)'s NPI record reflects an active status in NPPES.
What does the directory say JONATHAN GRAVLEE (OD) does?
Insurance directories may phrase it differently, but here JONATHAN GRAVLEE (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JONATHAN GRAVLEE (OD)?
JONATHAN GRAVLEE (OD) is associated with Vienna, Virginia in the same public data insurers reference.
Who maintains JONATHAN GRAVLEE (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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