DR. ROSS CUSIC (O.D.) – Optometrist, NPI 1568490654

DR. ROSS CUSIC (O.D.) is a healthcare provider. based in Kirkland, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3826T (WA). The NPI Number for DR. ROSS CUSIC (O.D.) is 1568490654

Main info

Male
30 Years Of Experience
Name
DR. ROSS CUSIC (O.D.)
NPI
1568490654
Phone
(425) 823-2020
Address
12011 124TH AVE NE
Enumeration Date
29 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
1658462056
Professional Enrollment ID
I20070814000149
Address ID
WA980348204KI12011NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. ROSS CUSIC (O.D.)

  • Optical Images, 12011, 124th Avenue Northeast, Firloch, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980348204

    Phone: (425) 823-2020

    Fax: (425) 823-1748

    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: 2007-08-14

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
I20070814000149IOptometryWATBD

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 system1313$0
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Insurance plans in this area (ZIP 98034)

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Reviews

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Frequently asked questions

Can I cross-check DR. ROSS CUSIC (O.D.) using NPI 1568490654?
NPI 1568490654 belongs to DR. ROSS CUSIC (O.D.); compare other details if you need extra assurance.
Would DR. ROSS CUSIC (O.D.) appear as active to a payer?
You can treat DR. ROSS CUSIC (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ROSS CUSIC (O.D.)?
At a glance, DR. ROSS CUSIC (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROSS CUSIC (O.D.)?
Directory geography for DR. ROSS CUSIC (O.D.) centers on Kirkland, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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