DAVID DOMACHOWSKI (O.D.) – Optometrist, NPI 1588040695
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID DOMACHOWSKI (O.D.)
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 234556004
Phone: (757) 490-9091
Fax: (757) 490-8334
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 1 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Alcon Vision LLC ($75).
Total Amount
$75
General + Research + Ownership
Payments
1
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $75 |
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: 2019-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (893 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20151208000625 | I | Optometry | VA | 2023-12-31 |
| I20191210003174 | I | Optometry | PA | TBD |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23455)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | VA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 184 | 103 |
| OPTOMETRY | VA | 92083 | Measurement of field of vision during daylight conditions | 31 | 25 |
| OPTOMETRY | VA | 92134 | Diagnostic imaging of retina | 23 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA |
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