ETIENNE BINGHAM (OD) – Optometrist, NPI 1184305013

ETIENNE BINGHAM (OD) is a healthcare provider. based in Albany, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. AT4700 (OR). The NPI Number for ETIENNE BINGHAM (OD) is 1184305013

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ETIENNE BINGHAM (OD)
NPI
1184305013
Phone
(857) 361-9339
Address
1595 WAVERLY DR SE APT 201
Enumeration Date
25 July 2023
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
5419281667
Graduation Year
2023 (3 years ago)
PAC ID
8022470137
Group Practice PAC ID
3870499163
Professional Enrollment ID
I20230821003170
Address ID
OR973226956AL2700XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for ETIENNE BINGHAM (OD)

  • 1595 WAVERLY DR SE APT 201

    ALBANY, OR 973228138

    Phone: (857) 361-9339

    Type: Mailing

  • 2700 14TH AVE SE

    ALBANY, OR 973226956

    Phone: (541) 928-1667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: The Walman Optical Company ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-21

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
I20230821003170IOptometryORTBD

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
92014Established patient complete exam of visual system5656$0
92134Imaging of retina2424$0
92004New patient complete exam of visual system1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 97322)

Loading plans...

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: 3870499163View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P T O M E T R YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify ETIENNE BINGHAM (OD) with an NPI only?
You can start verification with NPI 1184305013 for ETIENNE BINGHAM (OD), then check state licensing separately.
Can I rely on ETIENNE BINGHAM (OD) being an active provider?
As of the registry snapshot, ETIENNE BINGHAM (OD) is marked active.
What is ETIENNE BINGHAM (OD)'s specialty?
The listing groups ETIENNE BINGHAM (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does ETIENNE BINGHAM (OD) list a practice location?
Patients near Albany, Oregon may find ETIENNE BINGHAM (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

904, Pacific Boulevard Southeast, Albany, Linn County, Oregon, 97321, United States
NPI: 1619975588
2300, 14th Avenue Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1164491825
Heritage Way Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1023087525
Heritage Way Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1568431831
Heritage Way Southeast, Albany, Linn County, Oregon, 97322, United States
NPI: 1427027754

EYECARE ASSOCIATES PC

Ophthalmology Physician
2400 NW Century Dr
NPI: 1013964113
2715, Willetta Street Southwest, Albany, Linn County, Oregon, 97321, United States
NPI: 1013947902
2715, Willetta Street Southwest, Albany, Linn County, Oregon, 97321, United States
NPI: 1124053186