STEPHANIE LYNN HWANG (OD) – Pediatric Optometrist, NPI 1659955920

STEPHANIE LYNN HWANG (OD) is a healthcare provider. based in Clackamas, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI4547 (OR). The NPI Number for STEPHANIE LYNN HWANG (OD) is 1659955920

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LYNN HWANG (OD)
NPI
1659955920
Phone
(503) 882-2686
Address
15259 SE 82ND DR STE 101
Enumeration Date
12 May 2021
Last Update Date
12 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606874901
Graduation Year
2020 (6 years ago)
PAC ID
2264898972
Group Practice PAC ID
5395011761
Professional Enrollment ID
I20230523002199
Address ID
WA986043267BA1710XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for STEPHANIE LYNN HWANG (OD)

  • 15259 SE 82ND DR STE 101

    CLACKAMAS, OR 970156609

    Phone: (503) 882-2686

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,650.

Total Amount is formed as General ($1,650) + Research ($0) + Ownership ($0) = $1,650.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($1,280).

Total Amount

$1,650

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2023-05-23

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
I20230523002199IOptometryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5395011761View full group profile
NameSpecialtyState
O P T O M E T R YWA

Reviews

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Frequently asked questions

What identifier follows STEPHANIE LYNN HWANG (OD) across health systems?
The NPI 1659955920 uniquely identifies STEPHANIE LYNN HWANG (OD) in U.S. healthcare data.
Does the public listing show STEPHANIE LYNN HWANG (OD) as active?
STEPHANIE LYNN HWANG (OD)'s NPI record reflects an active status in NPPES.
What type of care does STEPHANIE LYNN HWANG (OD) provide?
STEPHANIE LYNN HWANG (OD)'s profile centers on Pediatric Optometrist. Clinical services aligned with this taxonomy classification.
Is STEPHANIE LYNN HWANG (OD) tied to Clackamas, Oregon?
If you are local to Clackamas, Oregon, STEPHANIE LYNN HWANG (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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