DR. MICHAEL DENNIS ERICKSON (O.D.) – Optometrist, NPI 1093707556

DR. MICHAEL DENNIS ERICKSON (O.D.) is a healthcare provider. based in Issaquah, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD00003260 (WA). The NPI Number for DR. MICHAEL DENNIS ERICKSON (O.D.) is 1093707556

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DENNIS ERICKSON (O.D.)
NPI
1093707556
Phone
(425) 392-9982
Address
4538 KLAHANIE DR SE
Enumeration Date
19 August 2005
Last Update Date
17 November 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
4257460908
Graduation Year
1996 (30 years ago)
PAC ID
2365404100
Professional Enrollment ID
I20041103000238
Address ID
WA980067801BE4957XSEXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. MICHAEL DENNIS ERICKSON (O.D.)

  • Klahanie Eye Care Center, 4538, Klahanie Drive Southeast, Hunter's Ridge, Klahanie, Issaquah, King County, Washington, 98029, United States

    ISSAQUAH, WA 98029

    Phone: (425) 392-9982

    Fax: (815) 301-5473

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103000238IOptometryWATBD

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
92004New patient complete exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 98029)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL DENNIS ERICKSON (O.D.) in U.S. healthcare records?
The official identifier for DR. MICHAEL DENNIS ERICKSON (O.D.) is NPI 1093707556.
Is DR. MICHAEL DENNIS ERICKSON (O.D.) shown as active in public data?
Registry records indicate DR. MICHAEL DENNIS ERICKSON (O.D.) maintains an active NPI.
How would a patient describe DR. MICHAEL DENNIS ERICKSON (O.D.)'s focus?
For DR. MICHAEL DENNIS ERICKSON (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL DENNIS ERICKSON (O.D.) associated with Issaquah?
Public fields place DR. MICHAEL DENNIS ERICKSON (O.D.) around Issaquah, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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