SHANI ELIZA RERECICH (O.D.) – Optometrist, NPI 1619225190

SHANI ELIZA RERECICH (O.D.) is a healthcare provider. based in Renton, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD60291669 (WA). The NPI Number for SHANI ELIZA RERECICH (O.D.) is 1619225190

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANI ELIZA RERECICH (O.D.)
NPI
1619225190
Phone
(425) 273-4368
Address
5021 RIPLEY LANE N
Enumeration Date
15 August 2012
Last Update Date
30 July 2014

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4253928756
Graduation Year
2012 (14 years ago)
PAC ID
6608025424
Group Practice PAC ID
6507195260
Professional Enrollment ID
I20130328000337
Address ID
WA980272483IS450XXBLVD400
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 SHANI ELIZA RERECICH (O.D.)

  • 5021 RIPLEY LANE N

    #302

    RENTON, WA 980561576

    Phone: (425) 273-4368

    Type: Mailing

  • 1600 E. JEFFERSON ST

    STE #202

    SEATTLE, WA 981221737

    Phone: (425) 320-2630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,491.

Total Amount is formed as General ($1,491) + Research ($0) + Ownership ($0) = $1,491.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Lumenis BE inc ($575).

Total Amount

$1,491

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2013-03-28

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
I20130328000337IOptometryWATBD

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 system118118$0
99214Established patient office or other outpatient visit, 30-39 minutes8946$0
92133Imaging of optic nerve4033$0
99213Established patient office or other outpatient visit, 20-29 minutes3929$0
92134Imaging of retina3431$0
View full utilization report →

Insurance plans in this area (ZIP 98056)

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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: 6507195260View full group profile
NameSpecialtyState
O P T O M E T R YWA
-WA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What NPI should I save for SHANI ELIZA RERECICH (O.D.)?
Save NPI 1619225190 if you need a stable reference for SHANI ELIZA RERECICH (O.D.).
Is SHANI ELIZA RERECICH (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHANI ELIZA RERECICH (O.D.)?
The page reflects Optometrist for SHANI ELIZA RERECICH (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for SHANI ELIZA RERECICH (O.D.)?
We surface Renton, Washington for SHANI ELIZA RERECICH (O.D.) based on available NPPES addresses.
How can I contact SHANI ELIZA RERECICH (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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