DR. ANGELA NASERI (OD) – Optometrist, NPI 1134988694

DR. ANGELA NASERI (OD) is a healthcare provider. based in Selah, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 61584552 (WA). The NPI Number for DR. ANGELA NASERI (OD) is 1134988694

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA NASERI (OD)
NPI
1134988694
Phone
(503) 352-2020
Address
320 JIM CLEMENTS WAY
Enumeration Date
18 March 2024
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5096972020
Graduation Year
2019 (7 years ago)
PAC ID
5597297168
Group Practice PAC ID
3476927997
Professional Enrollment ID
I20241021002642
Address ID
WA989421437SE320XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for DR. ANGELA NASERI (OD)

  • 320 JIM CLEMENTS WAY

    SELAH, WA 989421887

    Phone: (503) 352-2020

    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: 2024-10-21

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
I20241021002642IOptometryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98942)

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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: 3476927997View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YUT
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YIN
O P T O M E T R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANGELA NASERI (OD)?
DR. ANGELA NASERI (OD) — NPI 1134988694 — is the standard way to identify this listing.
Is DR. ANGELA NASERI (OD) still practicing?
DR. ANGELA NASERI (OD) is currently listed as active in the public NPI registry.
What is DR. ANGELA NASERI (OD)'s specialty?
The listing groups DR. ANGELA NASERI (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANGELA NASERI (OD) on a map?
Expect Selah, Washington as a primary anchor for DR. ANGELA NASERI (OD) unless the record lists multiple sites.
Is the information about DR. ANGELA NASERI (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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