DR. KIMBER MARIE KENZLI (OD) – Optometrist, NPI 1003477902
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for DR. KIMBER MARIE KENZLI (OD)
4712 97TH AVE W APT C
UNIVERSITY PLACE, WA 984661364
Phone: (253) 579-6962
Type: Mailing
Northwest Vision Development Center, 1705, South 324th Place, Federal Way Plaza South, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980038504
Phone: (253) 661-6005
Type: Location
PO BOX 5299
MS: 820-5-PCO
TACOMA, WA 984150299
Phone:
Type: Mailing
9800 LEVIN RD NW STE 208
SILVERDALE, WA 983837849
Phone: (360) 698-0600
Fax: (360) 613-0222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: CooperVision Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $14 |
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: 2020-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200603001811 | I | Optometry | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 14 | $0 |
| 92004 | New patient complete exam of visual system | 16 | 16 | $0 |
Insurance plans in this area (ZIP 98466)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | IN | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| - | MN |
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