Pearle Vision of Fleming Island – Optometrist, NPI 1245482710

Pearle Vision of Fleming Island is a healthcare provider. based in Fleming island, Florida. specializing in Optometrist. The organization holds a License No. OPC 3085 (FL). The NPI Number for Pearle Vision of Fleming Island is 1245482710

Main info

Organization
Name
Pearle Vision of Fleming Island
NPI
1245482710
Phone
(904) 637-2000
Address
1524 COUNTY ROAD 220 STE 5
Authorized Official
DR. JEFFREY SCOTT BLALOCK OPTOMETRIST O.D.
Enumeration Date
16 October 2008
Last Update Date
14 December 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Pearle Vision of Fleming Island

  • 1524 COUNTY ROAD 220 STE 5

    FLEMING ISLAND, FL 320034913

    Phone: (904) 637-2000

    Fax: (904) 637-2001

    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)

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: 2009-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (251 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20091221000557OClinic/Group PracticeFL2025-09-30

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.

Verify on CMS Revalidation Lookup Tool

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 32003)

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Reviews

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Frequently asked questions

What NPI should I save for Pearle Vision of Fleming Island?
Save NPI 1245482710 if you need a stable reference for Pearle Vision of Fleming Island.
Does this profile mean Pearle Vision of Fleming Island is currently active?
Yes — Pearle Vision of Fleming Island appears active in the national provider directory.
What does Pearle Vision of Fleming Island treat or focus on?
Patients typically see Pearle Vision of Fleming Island under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for Pearle Vision of Fleming Island?
We surface Fleming Island, Florida for Pearle Vision of Fleming Island based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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