Unknown Individual – Optometrist, NPI 1053328401
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 204
HENDERSON, IL 614390204
Phone: (309) 344-3210
Type: Mailing
Walmart Supercenter, 3320, Veterans Drive, Pekin, Tazewell County, Illinois, 61554, United States
PEKIN, IL 615549317
Phone: (309) 353-4220
Fax: (309) 353-4222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $355.
Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($224).
Total Amount
$355
General + Research + Ownership
Payments
4
Total payment records
General Amount
$355
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $224 |
| Alcon Vision LLC | $71 |
| Dompe US, Inc. | $59 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 61439)
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Reviews
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