DR. AUTUMN M MANTEL (O.D.) – Optometrist, NPI 1740297829
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
Provider Addresses for DR. AUTUMN M MANTEL (O.D.)
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 221926807
Phone: (703) 494-6184
Fax: (703) 499-9744
Type: Location
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
12333 NE 130TH LN STE 440
KIRKLAND, WA 980347467
Phone: (425) 899-3838
Fax: (425) 899-3844
Type: Mailing
17130, Avondale Way Northeast, Redmond, King County, Washington, 98052, United States
SUITE 111
REDMOND, WA 980524455
Phone: (425) 885-6600
Fax: (425) 885-6580
Type: Location
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: 2025-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051129000282 | I | Optometry | WA | TBD |
| I20220921003348 | I | Optometry | NY | TBD |
| I20240507000864 | I | Optometry | VA | TBD |
| I20240528002841 | I | Optometry | MI | TBD |
| I20241126001712 | I | Optometry | WI | TBD |
| I20250122000732 | I | Optometry | OH | TBD |
| I20250318000536 | I | Optometry | IN | TBD |
| I20250324000248 | I | Optometry | PA | TBD |
| I20250810000024 | I | Optometry | MD | TBD |
| I20250810000130 | I | Optometry | DC | TBD |
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.
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 98104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | AZ | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| - | OH | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | OH |
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