KIMBERLY K RUTKOWSKI (OD) – Optometrist, NPI 1659599587
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
798 OPTOMETRY in WI
Provider Addresses for KIMBERLY K RUTKOWSKI (OD)
420 E DIVISION ST
FOND DU LAC, WI 549354560
Phone: (920) 926-8340
Fax: (920) 926-8370
Type: Mailing
421 CAMELOT DR
FOND DU LAC, WI 549358335
Phone: (920) 926-8472
Fax: (920) 926-8391
Type: Location
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 544945488
Phone: (715) 421-2111
Fax: (715) 421-2123
Type: Location
316 DIVISION ST
STEVENS POINT, WI 544811834
Phone: (715) 344-5355
Fax: (715) 344-1798
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Alcon Vision LLC ($21).
Total Amount
$53
General + Research + Ownership
Payments
3
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $21 |
| CooperVision Inc. | $17 |
| Johnson & Johnson Vision Care, Inc. | $15 |
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: 2011-12-19
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 |
|---|---|---|---|---|
| I20111219000765 | I | Optometry | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54935)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI |
Reviews
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