DR. ANDREW GLEN NOBLE (O.D.) – Optometrist, NPI 1083963482

DR. ANDREW GLEN NOBLE (O.D.) is a healthcare provider. based in Poulsbo, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD60299410 (WA). The NPI Number for DR. ANDREW GLEN NOBLE (O.D.) is 1083963482

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW GLEN NOBLE (O.D.)
NPI
1083963482
Phone
(360) 626-5220
Address
20669 BOND RD NE
Enumeration Date
31 August 2012
Last Update Date
31 August 2012

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3607792020
Graduation Year
2012 (14 years ago)
PAC ID
6608027479
Group Practice PAC ID
6709773807
Professional Enrollment ID
I20121105000314
Address ID
WA983706525PO20669NEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. ANDREW GLEN NOBLE (O.D.)

  • 20669 BOND RD NE

    STE 100

    POULSBO, WA 983706525

    Phone: (360) 626-5220

    Fax: (360) 779-3093

    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 9 Open Payments records for all available years, with a total value of $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Alcon Vision LLC ($66).

Total Amount

$205

General + Research + Ownership

Payments

9

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2012-11-05

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
I20121105000314IOptometryWATBD

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 system646633$0
99213Established patient office or other outpatient visit, 20-29 minutes401290$0
92133Imaging of optic nerve271266$0
92083Exam of visual field with extended testing265255$0
92134Imaging of retina142139$0
View full utilization report →

Insurance plans in this area (ZIP 98370)

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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: 6709773807View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANDREW GLEN NOBLE (O.D.)?
NPI 1083963482 is assigned to DR. ANDREW GLEN NOBLE (O.D.) under the national enumeration system.
Is DR. ANDREW GLEN NOBLE (O.D.)'s NPI currently valid?
The extract we use shows DR. ANDREW GLEN NOBLE (O.D.) as active.
What field does DR. ANDREW GLEN NOBLE (O.D.) work in?
You can think of DR. ANDREW GLEN NOBLE (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. ANDREW GLEN NOBLE (O.D.)'s primary listing?
We display Poulsbo, Washington because that is what the record indicates for DR. ANDREW GLEN NOBLE (O.D.).
Is DR. ANDREW GLEN NOBLE (O.D.) a real provider?
This page reflects official NPPES data for NPI 1083963482. Always confirm identity and privileges with the practice and licensing boards.

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