DR. JESSICA J CONNOLLY (O.D.) – Optometrist, NPI 1285776575
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for DR. JESSICA J CONNOLLY (O.D.)
12121, East Broadway Avenue, Opportunity, Spokane Valley, Spokane County, Washington, 99206, United States
BLDG 1
SPOKANE VALLEY, WA 992064972
Phone: (509) 928-1212
Fax: (509) 924-5035
Type: Mailing
12121 E BROADWAY AVE STE 1
BLDG 1
SPOKANE VALLEY, WA 992064972
Phone: (509) 928-1212
Fax: (509) 924-5035
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: CooperVision Inc. ($116).
Total Amount
$239
General + Research + Ownership
Payments
8
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $116 |
| LKC Technologies, Inc. | $49 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $34 |
| Bausch & Lomb Americas Inc. | $24 |
| Thea Pharma Inc. | $16 |
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: 2010-02-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100218000557 | I | Optometry | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 219 | 217 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 105 | $0 |
| 92250 | Photography of the retina | 92 | 92 | $0 |
| 92083 | Exam of visual field with extended testing | 59 | 48 | $0 |
| 92134 | Imaging of retina | 46 | 42 | $0 |
Insurance plans in this area (ZIP 99206)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | WA |
Reviews
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