MICHAEL GREGORY FENNO (O.D.) – Optometrist, NPI 1366439242

MICHAEL GREGORY FENNO (O.D.) is a healthcare provider. based in Colville, Washington. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1708 (WA). The NPI Number for MICHAEL GREGORY FENNO (O.D.) is 1366439242

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL GREGORY FENNO (O.D.)
NPI
1366439242
Phone
(509) 684-5278
Address
102 S OAK ST
Enumeration Date
5 October 2005
Last Update Date
19 October 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5096845278
Graduation Year
1986 (40 years ago)
PAC ID
1052303757
Group Practice PAC ID
7911999602
Professional Enrollment ID
I20100216000092
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL GREGORY FENNO (O.D.)

  • 102, South Oak Street, Colville, Stevens County, Washington, 99114, United States

    COLVILLE, WA 991142846

    Phone: (509) 684-5278

    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 2 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: CooperVision Inc. ($88).

Total Amount

$157

General + Research + Ownership

Payments

2

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 99114)

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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: 7911999602View full group profile
NameSpecialtyState
-WA

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Frequently asked questions

Is MICHAEL GREGORY FENNO (O.D.) listed with a National Provider Identifier?
Yes — MICHAEL GREGORY FENNO (O.D.) has NPI 1366439242 on file in the registry.
Active or inactive — what applies to MICHAEL GREGORY FENNO (O.D.)?
You should see MICHAEL GREGORY FENNO (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MICHAEL GREGORY FENNO (O.D.)?
At a glance, MICHAEL GREGORY FENNO (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL GREGORY FENNO (O.D.)?
Directory geography for MICHAEL GREGORY FENNO (O.D.) centers on Colville, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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