STAR MEDICAL FL PLLC – Optometrist, NPI 1164129409
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STAR MEDICAL FL PLLC
7124 Beracasa Way
Boca Raton, FL 334333448
Phone: (561) 750-7744
Fax: (561) 392-3200
Type: Location
10400 San Jose Blvd Ste 6
Jacksonville, FL 322576360
Phone: (904) 880-1818
Fax: (904) 880-1828
Type: Location
14050 US 1 Ste E
Juno Beach, FL 334081410
Phone: (561) 508-7651
Type: Location
1330 West Ave # Cu-101
Miami Beach, FL 331390900
Phone: (305) 877-2026
Type: Location
4871 Town Center Pkwy Ste 5
Jacksonville, FL 322468310
Phone: (904) 686-1386
Type: Location
880 A1A N Ste 13
Ponte Vedra Beach, FL 320823228
Phone: (904) 686-1386
Fax: (904) 686-1363
Type: Location
900 W Granada Blvd Ste 1
Ormond Beach, FL 321745941
Phone: (386) 675-6599
Type: Location
14964 Max Leggett Pkwy Ste 106
Jacksonville, FL 322187270
Phone: (904) 686-1386
Fax: (904) 686-1363
Type: Location
7501 PARAGON RD STE 201
DAYTON, OH 454595323
Phone:
Type: Mailing
3920 BEE RIDGE RD STE A
SARASOTA, FL 342331207
Phone: (941) 923-3411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-09-28
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 |
|---|---|---|---|---|
| O20230928002559 | O | Clinic/Group Practice | FL | 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 33433)
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