April G. Mishley, OD
NPI 1841978426ActiveIndividual· Optometrist· Providence, RI
Optometrist (OD) with Refocus Eye Health of Ri, LLC, practicing in Providence, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $286,225 for 482 claims, against $63,466 paid for services in 2024. Alcon Vision LLC was the largest of 14 companies reporting payments in 2025, $1,319 in all, mostly food and beverage.
Overview
| NPI | 1841978426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jul 5, 2023 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODTG00746 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 501 |
|---|---|
| Services billed | 985 across 21 procedure codes |
| Paid by Medicare | $63,466 |
Part D prescriptions in 2024
| Prescriptions (claims) | 482 · 713 30-day fills |
|---|---|
| Patients | 235 |
| Total drug cost | $286,225 |
| Generic share | 67% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Refocus Eye Health of Ri, LLCProvidence, RI · 17 clinicians
Industry payments (Open Payments)
- 2025$1,319 · 28 payments from 14 companies
- 2024$879.55 · 22 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $314.49 | 7 |
| Glaukos Corporation | $308.29 | 2 |
| Sight Sciences, Inc. | $147.49 | 1 |
| Johnson & Johnson Vision Care, Inc. | $112.07 | 1 |
| Dompe US, Inc. | $106.08 | 1 |
What the 2025 payments were for
- Food and Beverage$1,299 · 27 payments
- Consulting Fee$20.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 79 optometrists in Providence · All optometrists in Rhode Island