OPTICAL SHOP – Eyewear Supplier, NPI 1659371714

OPTICAL SHOP is a healthcare provider. based in Ocala, Florida. specializing in Eyewear Supplier. The organization holds a License No. ME0048124 (FL). The NPI Number for OPTICAL SHOP is 1659371714

Main info

Organization
Name
OPTICAL SHOP
NPI
1659371714
Phone
(352) 237-8400
Address
3133 SW 32ND AVE
Authorized Official
DR. THOMAS LLOYD CROLEY MEDICAL DIRECTOR MD
Enumeration Date
29 July 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for OPTICAL SHOP

  • 3133, Southwest 32nd Avenue, Ocala, Marion County, Florida, 34474, United States

    OCALA, FL 344744446

    Phone: (352) 237-8400

    Fax: (352) 237-7190

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

1

Earliest due date

2024-02-29

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
O20100930074104OOpticianFL2024-02-29

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 34474)

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Reviews

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Frequently asked questions

What is the registry number for OPTICAL SHOP?
The registry entry for OPTICAL SHOP shows NPI 1659371714.
Is OPTICAL SHOP currently accepting referrals based on NPI status?
Registry metadata lists OPTICAL SHOP as active.
What services align with OPTICAL SHOP's listing?
OPTICAL SHOP's public classification highlights Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What geographic area is tied to OPTICAL SHOP?
OPTICAL SHOP is associated with Ocala, Florida in the same public data insurers reference.
Who maintains OPTICAL SHOP's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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