DR. BRET ALLEN ULRICH (OD) – Optometrist, NPI 1821001256
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for DR. BRET ALLEN ULRICH (OD)
North Molter Road, Liberty Lake, Spokane County, Washington, 99019, United States
SUITE 100
LIBERTY LAKE, WA 990197571
Phone: (509) 893-7574
Fax: (509) 893-3703
Type: Mailing
22011, East Country Vista Drive, Liberty Lake, Spokane County, Washington, 99019, United States
STE 101
LIBERTY LAKE, WA 990195242
Phone: (509) 893-7574
Fax: (509) 893-3703
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($188).
Total Amount
$305
General + Research + Ownership
Payments
6
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $188 |
| CooperVision Inc. | $117 |
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: 2004-01-16
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 |
|---|---|---|---|---|
| I20040116000233 | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 205 | 156 | $0 |
| 92134 | Imaging of retina | 42 | 29 | $0 |
| 92083 | Exam of visual field with extended testing | 35 | 26 | $0 |
| 92133 | Imaging of optic nerve | 30 | 23 | $0 |
| 92014 | Established patient complete exam of visual system | 19 | 19 | $0 |
Insurance plans in this area (ZIP 99019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| O P T O M E T R Y | WA |
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