MR. ELVIN W FENTON (OD) – Optometrist, NPI 1215920442
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. ELVIN W FENTON (OD)
2703, Richmond Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755032328
Phone: (903) 838-0783
Fax: (903) 831-6145
Type: Mailing
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
751 MID CITIES BLVD
HURST, TX 760542748
Phone: (817) 656-2020
Fax: (817) 656-5908
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: 2016-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110901000194 | I | Optometry | TX | TBD |
| I20130924000319 | I | Optometry | OK | TBD |
| I20160506001713 | I | Optometry | AR | 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 75503)
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