DR. VIJAYATA DHAM (O.D.) – Optometrist, NPI 1407296114
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
Provider Addresses for DR. VIJAYATA DHAM (O.D.)
4114 INNSLAKE DR
GLEN ALLEN, VA 230603344
Phone: (804) 217-9883
Fax: (804) 217-9065
Type: Mailing
3855 GASKINS RD
HENRICO, VA 232331441
Phone: (804) 290-4278
Fax: (804) 217-6400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $818.
Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Optos, Inc. ($296).
Total Amount
$818
General + Research + Ownership
Payments
12
Total payment records
General Amount
$818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $296 |
| CooperVision Inc. | $168 |
| Alcon Vision LLC | $144 |
| LKC Technologies, Inc. | $110 |
| Bausch & Lomb Americas Inc. | $49 |
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: 2013-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20130823000846 | I | Optometry | VA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 24 | $0 |
| 92004 | New patient complete exam of visual system | 22 | 22 | $0 |
Insurance plans in this area (ZIP 23060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| - | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA |
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