DR. NOEL HENRY (O.D.) – Optometrist, NPI 1871612408
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. NOEL HENRY (O.D.)
13506 SUMMERPORT VILLAGE PKWY
SUITE 254
WINDERMERE, FL 347867366
Phone: (954) 288-3032
Fax: (407) 877-3276
Type: Mailing
2855 N OLD LAKE WILSON ROAD
LOCATED INSIDE WALMART 5214
KISSIMMEE, FL 347471821
Phone: (407) 654-0181
Fax: (407) 877-4471
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 $9,367.
Total Amount is formed as General ($9,367) + Research ($0) + Ownership ($0) = $9,367.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Optos, Inc. ($9,224).
Total Amount
$9,367
General + Research + Ownership
Payments
3
Total payment records
General Amount
$9,367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $9,224 |
| Bausch & Lomb Americas Inc. | $125 |
| Notal Vision, Inc. | $18 |
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: 2005-12-05
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 |
|---|---|---|---|---|
| I20051205000123 | I | Optometry | 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 34786)
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