ProMedica Physicians Eye Care – Optometrist, NPI 1871912410
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ProMedica Physicians Eye Care
1 SEAGATE
SUITE 800
TOLEDO, OH 436041558
Phone: (567) 585-1997
Fax: (419) 824-7359
Type: Mailing
5700 MONROE ST
SUITE 211
SYLVANIA, OH 435602767
Phone: (419) 776-1004
Fax: (419) 776-1020
Type: Location
100 MADISON AVE FL 3
TOLEDO, OH 436041516
Phone:
Type: Mailing
5700 MONROE ST UNIT 211
SYLVANIA, OH 435602737
Phone: (419) 776-1004
Fax: (419) 776-1020
Type: Location
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: 2015-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (160 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20150407002178 | O | Physician - Ophthalmology | OH | 2025-12-31 |
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.
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 43604)
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