WINK VISION – Optometrist, NPI 1205366333
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WINK VISION
14688 NINA CT
WATERFORD, VA 201971635
Phone: (540) 336-2073
Type: Mailing
1305 W 7th St Ste 13
Frederick, MD 217024100
Phone: (283) 969-2839
Fax: (540) 235-5377
Type: Location
2711 Ocean Gtwy Ste B
Cambridge, MD 216133591
Phone: (301) 969-2839
Type: Location
12911 Ocean Gtwy Unit 102
Ocean City, MD 218429845
Phone: (301) 969-2839
Type: Location
1201 WOLF ROCK DR STE 185
PURCELLVILLE, VA 201325841
Phone: (540) 441-3719
Fax: (540) 235-5377
Type: Mailing
316 CANYON RD
WINCHESTER, VA 226027028
Phone:
Type: Mailing
96 PATRICK HENRY WAY STE 6
CHARLES TOWN, WV 254144391
Phone: (304) 728-4463
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: 2019-12-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (258 days ago).
Enrollment records
2
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20180207000557 | O | Clinic/Group Practice | VA | TBD |
| O20191228000041 | O | Clinic/Group Practice | MD | 2025-09-30 |
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 20197)
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