PICKERINGTON EYECARE – Optometrist, NPI 1679763577

PICKERINGTON EYECARE is a healthcare provider. based in Pickerington, Ohio. specializing in Optometrist. The organization holds a License No. 4686 (OH). The NPI Number for PICKERINGTON EYECARE is 1679763577

Main info

Organization
Name
PICKERINGTON EYECARE
NPI
1679763577
Phone
(614) 575-0111
Address
141 CLINT DRIVE
Authorized Official
DR. BRIAN D TRACY PRESIDENT OD
Enumeration Date
26 July 2007
Last Update Date
23 June 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for PICKERINGTON EYECARE

  • 141, Clint Drive, Pickerington, Fairfield County, Ohio, 43147, United States

    PICKERINGTON, OH 43147

    Phone: (614) 575-0111

    Fax: (614) 577-9214

    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: 2004-03-25

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
O20040325000088OClinic/Group PracticeOHTBD

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 43147)

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Reviews

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Frequently asked questions

Can I verify PICKERINGTON EYECARE with an NPI only?
You can start verification with NPI 1679763577 for PICKERINGTON EYECARE, then check state licensing separately.
Is PICKERINGTON EYECARE still practicing?
PICKERINGTON EYECARE is currently listed as active in the public NPI registry.
What is PICKERINGTON EYECARE's specialty?
The listing groups PICKERINGTON EYECARE with Optometrist. Clinical services aligned with this taxonomy classification.
Where is PICKERINGTON EYECARE based?
PICKERINGTON EYECARE is tied to Pickerington, Ohio in the data we show; additional addresses may exist on the full record.
Why does PICKERINGTON EYECARE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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