DR. GARY PHILIP ARCHER (O.D.) – Optometrist, NPI 1790864205

DR. GARY PHILIP ARCHER (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. OD00001793 (WA). The NPI Number for DR. GARY PHILIP ARCHER (O.D.) is 1790864205

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY PHILIP ARCHER (O.D.)
NPI
1790864205
Phone
(425) 820-2020
Address
14050 JUANITA DR NE STE A
Enumeration Date
3 November 2006
Last Update Date
8 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
2065427406
Graduation Year
1987 (39 years ago)
PAC ID
4284709163
Group Practice PAC ID
1355311606
Professional Enrollment ID
I20080813000181
Address ID
WA981334430SH701XXSTXX401
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. GARY PHILIP ARCHER (O.D.)

  • Juanita Drive Northeast, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 98034

    Phone: (425) 820-2020

    Fax: (425) 821-9576

    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: 2008-08-13

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
I20080813000181IOptometryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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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: 1355311606View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GARY PHILIP ARCHER (O.D.)?
NPI 1790864205 is assigned to DR. GARY PHILIP ARCHER (O.D.) under the national enumeration system.
Is DR. GARY PHILIP ARCHER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. GARY PHILIP ARCHER (O.D.) work in?
You can think of DR. GARY PHILIP ARCHER (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. GARY PHILIP ARCHER (O.D.)'s primary listing?
We display Kirkland, Washington because that is what the record indicates for DR. GARY PHILIP ARCHER (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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