DR. KENNETH DAVID GRIER (OD) – Optometrist, NPI 1710979794

DR. KENNETH DAVID GRIER (OD) is a healthcare provider. based in Summerfield, Florida. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. OPC 1474 (FL). The NPI Number for DR. KENNETH DAVID GRIER (OD) is 1710979794

Main info

Male
Sole Proprietor
Name
DR. KENNETH DAVID GRIER (OD)
NPI
1710979794
Phone
(352) 307-9225
Address
10250 SE 167TH PLACE RD UNIT 5
Enumeration Date
16 August 2005
Last Update Date
1 June 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. KENNETH DAVID GRIER (OD)

  • 10250 SE 167TH PLACE RD UNIT 5

    SUMMERFIELD, FL 344918682

    Phone: (352) 307-9225

    Fax: (352) 307-8442

    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: 2005-11-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000484IOptometryFLTBD

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.

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 34491)

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Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH DAVID GRIER (OD) in U.S. healthcare records?
The official identifier for DR. KENNETH DAVID GRIER (OD) is NPI 1710979794.
Is DR. KENNETH DAVID GRIER (OD) still an active registrant?
DR. KENNETH DAVID GRIER (OD) carries an active NPI according to the public dataset.
How would a patient describe DR. KENNETH DAVID GRIER (OD)'s focus?
For DR. KENNETH DAVID GRIER (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH DAVID GRIER (OD)?
Travel planning: use Summerfield, Florida as the reference point for DR. KENNETH DAVID GRIER (OD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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