ELIZABETH PETERS – Optometrist, NPI 1174218242

ELIZABETH PETERS is a healthcare provider. based in The dalles, Oregon. specializing in OPTOMETRY. They hold a License No. OD61447579 (WA). The NPI Number for ELIZABETH PETERS is 1174218242

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH PETERS
NPI
1174218242
Phone
Not provided
Address
2509 MILL CREEK RD
Enumeration Date
5 April 2023
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5094472945
Graduation Year
2023 (3 years ago)
PAC ID
2567822240
Group Practice PAC ID
3870925092
Professional Enrollment ID
I20230712004066
Address ID
WA991569670NE205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for ELIZABETH PETERS

  • 2509 MILL CREEK RD

    THE DALLES, OR 970581227

    Phone:

    Type: Mailing

  • 205 S WASHINGTON AVE

    NEWPORT, WA 991569670

    Phone: (509) 447-2945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Alcon Vision LLC ($158).

Total Amount

$158

General + Research + Ownership

Payments

2

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$158
View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230712004066IOptometryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8869$0
92014Established patient complete exam of visual system5454$0
92004New patient complete exam of visual system4949$0
92250Photography of the retina4141$0
92083Exam of visual field with extended testing3330$0
View full utilization report →

Insurance plans in this area (ZIP 97058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870925092View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIZABETH PETERS?
ELIZABETH PETERS — NPI 1174218242 — is the standard way to identify this listing.
Does CMS list ELIZABETH PETERS as active?
Yes — ELIZABETH PETERS is active in the NPI listing used on this page.
What taxonomy line describes ELIZABETH PETERS?
For research purposes, treat ELIZABETH PETERS as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH PETERS on a map?
Expect The Dalles, Oregon as a primary anchor for ELIZABETH PETERS unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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