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Revalidation record

Eagle Vision — revalidation due 2026-11-30

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NPI 1750791943 · DME · UT · Enrollment ID O20231003002416

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20231003002416UT855I2026-11-30
O20140820000888UT855BTBD
Revalidation due
2026-11-30
Form to file
855I

Individual physicians and practitioners file CMS-855I.

This NPI's revalidation is due 2026-11-30 — in 32 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-11-30

Not an official CMS system. Verify before filing.

All UT revalidation dates for October 2026Where this date comes from