DR. TRACY CHANTELLLE DOLL (O.D.) – Optometrist, NPI 1700991916

DR. TRACY CHANTELLLE DOLL (O.D.) is a healthcare provider. based in Beaverton, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3184ATI (OR). The NPI Number for DR. TRACY CHANTELLLE DOLL (O.D.) is 1700991916

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY CHANTELLLE DOLL (O.D.)
NPI
1700991916
Phone
(503) 314-5856
Address
17184 SW ARTESIAN DR
Enumeration Date
20 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5035338441
Graduation Year
2006 (20 years ago)
PAC ID
3375646342
Group Practice PAC ID
3678624301
Professional Enrollment ID
I20070312000399
Address ID
OR970067310BE1865XPLXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DR. TRACY CHANTELLLE DOLL (O.D.)

  • 17184, Southwest Artesian Drive, Elmonica, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States

    BEAVERTON, OR 970064990

    Phone: (503) 314-5856

    Type: Mailing

  • Portland VA Medical Center, 3710, Southwest United States Veterans Hospital Road, Marquam Hill, Homestead, Portland, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972392964

    Phone: (503) 220-8262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $50,057.

Total Amount is formed as General ($50,057) + Research ($0) + Ownership ($0) = $50,057.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($16,306).

Total Amount

$50,057

General + Research + Ownership

Payments

109

Total payment records

General Amount

$50,057

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2007-03-12

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
I20070312000399IOptometryORTBD

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
92285Photography of content of eyes7116$0
99213Established patient office or other outpatient visit, 20-29 minutes7016$0
View full utilization report →

Insurance plans in this area (ZIP 97006)

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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: 3678624301View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TRACY CHANTELLLE DOLL (O.D.)'s NPI?
Yes. DR. TRACY CHANTELLLE DOLL (O.D.) is listed with NPI 1700991916 in the public NPI dataset.
Is DR. TRACY CHANTELLLE DOLL (O.D.) listed as active for patients and plans?
The listing shows DR. TRACY CHANTELLLE DOLL (O.D.) as active in the NPI system.
What is DR. TRACY CHANTELLLE DOLL (O.D.) best known for clinically?
Directory data describes DR. TRACY CHANTELLLE DOLL (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. TRACY CHANTELLLE DOLL (O.D.) serve?
DR. TRACY CHANTELLLE DOLL (O.D.)'s listing highlights Beaverton, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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