SEAN THOREBY (O.D.) – Optometrist, NPI 1164776282

SEAN THOREBY (O.D.) is a healthcare provider. based in Kent, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD60570238 (WA). The NPI Number for SEAN THOREBY (O.D.) is 1164776282

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SEAN THOREBY (O.D.)
NPI
1164776282
Phone
(253) 852-2020
Address
10002 SE 240TH ST
Enumeration Date
29 October 2012
Last Update Date
29 September 2015

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2068426604
Graduation Year
2015 (11 years ago)
PAC ID
8527375153
Group Practice PAC ID
3476927997
Professional Enrollment ID
I20150915002195
Address ID
WA981102834BA345XXNEXX401
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 SEAN THOREBY (O.D.)

  • 10002 SE 240TH ST

    KENT, WA 980314839

    Phone: (253) 852-2020

    Fax: (253) 854-2020

    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)

CMS reports 13 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: CooperVision Inc. ($156).

Total Amount

$410

General + Research + Ownership

Payments

13

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2015-09-15

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
I20150915002195IOptometryWATBD

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 98031)

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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 YWA
O P T O M E T R YIN

Reviews

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Frequently asked questions

Can I use this page to confirm SEAN THOREBY (O.D.)'s NPI?
Yes. SEAN THOREBY (O.D.) is listed with NPI 1164776282 in the public NPI dataset.
Does the file indicate SEAN THOREBY (O.D.) is practicing under active NPI?
Directory data currently reports SEAN THOREBY (O.D.) as active.
What healthcare role does SEAN THOREBY (O.D.) hold?
Scheduling teams often label SEAN THOREBY (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect SEAN THOREBY (O.D.) on a map?
Expect Kent, Washington as a primary anchor for SEAN THOREBY (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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