KEVIE KAWASAKI (OD) – Optometrist, NPI 1740849199

KEVIE KAWASAKI (OD) is a healthcare provider. based in Bandon, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI4462 (OR). The NPI Number for KEVIE KAWASAKI (OD) is 1740849199

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KEVIE KAWASAKI (OD)
NPI
1740849199
Phone
(541) 347-3622
Address
395 2ND ST SE
Enumeration Date
10 June 2019
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5036351458
Graduation Year
2019 (7 years ago)
PAC ID
3971839473
Group Practice PAC ID
8628052362
Professional Enrollment ID
I20190722001547

Contacts

Secure Messaging
KKawasaki8266@willowcreekeyecare.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

672 OPTOMETRY in OR

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Provider Addresses for KEVIE KAWASAKI (OD)

  • 395, 2nd Street Southeast, Bandon, Coos County, Oregon, 97411, United States

    BANDON, OR 974119605

    Phone: (541) 347-3622

    Type: Location

  • 395 2nd St SE

    Bandon, OR 974119605

    Phone: (541) 347-3622

    Type: Location

  • 198 NE Combs Flat Rd Ste 120

    Prineville, OR 977542563

    Phone: (541) 447-5133

    Type: Location

  • 15480 Boones Ferry Rd

    Lake Oswego, OR 970353429

    Phone: (503) 635-1458

    Type: Location

  • 625 N Arrowleaf Trl Ste 103

    Sisters, OR 977592610

    Phone: (541) 549-2105

    Type: Location

  • 2155 NW Shevlin Park Rd

    Bend, OR 977037101

    Phone: (541) 647-2760

    Type: Location

  • 1000 SW Indian Ave

    Redmond, OR 977563039

    Phone: (541) 548-2488

    Type: Location

  • 65 NE Oak St Ste 110

    Madras, OR 977411814

    Phone: (541) 548-2488

    Type: Location

  • 14740 NW CORNELL RD STE 110

    PORTLAND, OR 972295400

    Phone: (503) 645-8002

    Type: Location

  • PO BOX 956

    BANDON, OR 974110956

    Phone: (541) 347-3622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $2,312.

Total Amount is formed as General ($2,312) + Research ($0) + Ownership ($0) = $2,312.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($1,684).

Total Amount

$2,312

General + Research + Ownership

Payments

35

Total payment records

General Amount

$2,312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-07-22

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
I20190722001547IOptometryORTBD

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 system2929$0
92250Photography of the retina2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 97411)

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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: 8628052362View full group profile
NameSpecialtyState
O P T O M E T R YOR
-OR

Reviews

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Frequently asked questions

How do payers reference KEVIE KAWASAKI (OD)?
For KEVIE KAWASAKI (OD), use NPI 1740849199 as the unique 10-digit identifier.
Is KEVIE KAWASAKI (OD) shown as active in public data?
Registry records indicate KEVIE KAWASAKI (OD) maintains an active NPI.
How would a patient describe KEVIE KAWASAKI (OD)'s focus?
For KEVIE KAWASAKI (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is KEVIE KAWASAKI (OD) located near Bandon?
KEVIE KAWASAKI (OD) currently maps to Bandon, Oregon in this extract.
Does KEVIE KAWASAKI (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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