CHERRY HILLS FAMILY EYE CARE, L.L.C. – Optometrist, NPI 1992742498

CHERRY HILLS FAMILY EYE CARE, L.L.C. is a healthcare provider. based in Wildwood, Missouri. specializing in Optometrist. The organization holds a License No. TO3447 (MO). The NPI Number for CHERRY HILLS FAMILY EYE CARE, L.L.C. is 1992742498

Main info

Organization
Name
CHERRY HILLS FAMILY EYE CARE, L.L.C.
NPI
1992742498
Phone
(636) 273-6336
Address
16508 MANCHESTER RD
Authorized Official
DR. DAVID PAUL PRANGE OWNER O.D.
Enumeration Date
1 June 2006
Last Update Date
4 June 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHERRY HILLS FAMILY EYE CARE, L.L.C.

  • Cherry Hills Eye Care, 16508, Manchester Road, Wildwood, Saint Louis County, Missouri, 63040, United States

    WILDWOOD, MO 630401217

    Phone: (636) 273-6336

    Fax: (636) 273-9172

    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: 2016-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
O20090219000367OClinic/Group PracticeMO2023-12-31
O20160119000286OPhysician - OptometristMOTBD

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 63040)

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Reviews

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Frequently asked questions

Is CHERRY HILLS FAMILY EYE CARE, L.L.C. listed with a National Provider Identifier?
Yes — CHERRY HILLS FAMILY EYE CARE, L.L.C. has NPI 1992742498 on file in the registry.
Active or inactive — what applies to CHERRY HILLS FAMILY EYE CARE, L.L.C.?
You should see CHERRY HILLS FAMILY EYE CARE, L.L.C. as active in CMS-hosted NPPES data.
What area of care is associated with CHERRY HILLS FAMILY EYE CARE, L.L.C.?
CHERRY HILLS FAMILY EYE CARE, L.L.C.'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with CHERRY HILLS FAMILY EYE CARE, L.L.C.?
Directory geography for CHERRY HILLS FAMILY EYE CARE, L.L.C. centers on Wildwood, Missouri.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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