TIFFANY JOY HOLLENBECK (OD) – Optometrist, NPI 1669477725

TIFFANY JOY HOLLENBECK (OD) is a healthcare provider. based in Seattle, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3825TX (WA). The NPI Number for TIFFANY JOY HOLLENBECK (OD) is 1669477725

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY JOY HOLLENBECK (OD)
NPI
1669477725
Phone
(206) 543-6420
Address
PO BOX 50095
Enumeration Date
16 June 2005
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4255451010
Graduation Year
2002 (24 years ago)
PAC ID
4688650906
Professional Enrollment ID
I20040702000003
Address ID
WA980555740RE17800SXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for TIFFANY JOY HOLLENBECK (OD)

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 543-6420

    Type: Mailing

  • P2, 908, Jefferson Street, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States

    STE 101

    SEATTLE, WA 981042433

    Phone: (206) 897-4774

    Fax: (763) 546-8114

    Type: Location

  • 17800 TALBOT RD S STE 200

    RENTON, WA 980555776

    Phone: (425) 545-1010

    Fax: (425) 738-3707

    Type: Mailing

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: 2004-07-02

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
I20040702000003IOptometryWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes428356$0
92133Imaging of optic nerve144111$0
99203New patient office or other outpatient visit, 30-44 minutes113113$0
92134Imaging of retina8379$0
99214Established patient office or other outpatient visit, 30-39 minutes8273$0
View full utilization report →

Insurance plans in this area (ZIP 98145)

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Reviews

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Frequently asked questions

What unique ID ties claims to TIFFANY JOY HOLLENBECK (OD)?
NPI 1669477725 is assigned to TIFFANY JOY HOLLENBECK (OD) under the national enumeration system.
Is TIFFANY JOY HOLLENBECK (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TIFFANY JOY HOLLENBECK (OD)?
The page reflects Optometrist for TIFFANY JOY HOLLENBECK (OD). Clinical services aligned with this taxonomy classification.
What location shows for TIFFANY JOY HOLLENBECK (OD)?
We surface Seattle, Washington for TIFFANY JOY HOLLENBECK (OD) based on available NPPES addresses.
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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