DR. LAWRENCE WILLIAM NIVALA (O.D.) – Optometrist, NPI 1235109174

DR. LAWRENCE WILLIAM NIVALA (O.D.) is a healthcare provider. based in Port angeles, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD2046 (WA). The NPI Number for DR. LAWRENCE WILLIAM NIVALA (O.D.) is 1235109174

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAWRENCE WILLIAM NIVALA (O.D.)
NPI
1235109174
Phone
(360) 452-2361
Address
114 E 1ST ST
Enumeration Date
24 January 2006
Last Update Date
19 February 2014

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3604522100
Graduation Year
1988 (38 years ago)
PAC ID
1759301153
Group Practice PAC ID
9739360363
Professional Enrollment ID
I20051130000546
Address ID
WA983623511PO811XXSTXX300
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. LAWRENCE WILLIAM NIVALA (O.D.)

  • 114, East 1st Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983622903

    Phone: (360) 452-2361

    Fax: (360) 452-2362

    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: 2005-11-30

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
I20051130000546IOptometryWATBD

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 system8282$0
92004New patient complete exam of visual system5454$0
66984Removal of cataract with insertion of prosthetic lens3619$0
92012Established patient problem focused exam of visual system3427$0
99213Established patient office or other outpatient visit, 20-29 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 98362)

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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: 9739360363View full group profile
NameSpecialtyState
O P T O M E T R YWA

Reviews

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Frequently asked questions

Is DR. LAWRENCE WILLIAM NIVALA (O.D.) listed with a National Provider Identifier?
Yes — DR. LAWRENCE WILLIAM NIVALA (O.D.) has NPI 1235109174 on file in the registry.
Is DR. LAWRENCE WILLIAM NIVALA (O.D.) shown as active in public data?
Registry records indicate DR. LAWRENCE WILLIAM NIVALA (O.D.) maintains an active NPI.
What expertise is attributed to DR. LAWRENCE WILLIAM NIVALA (O.D.)?
DR. LAWRENCE WILLIAM NIVALA (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LAWRENCE WILLIAM NIVALA (O.D.)?
Directory geography for DR. LAWRENCE WILLIAM NIVALA (O.D.) centers on Port Angeles, Washington.
Can I trust this NPI listing for DR. LAWRENCE WILLIAM NIVALA (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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