SUSAN P WYNNE (O.D.) – Corneal and Contact Management Optometrist, NPI 1962448621

SUSAN P WYNNE (O.D.) is a healthcare provider. based in Redmond, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3012 (WA). The NPI Number for SUSAN P WYNNE (O.D.) is 1962448621

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN P WYNNE (O.D.)
NPI
1962448621
Phone
(425) 882-2923
Address
15600 REDMOND WAY STE 300
Enumeration Date
21 June 2006
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
4258822923
Graduation Year
1981 (45 years ago)
PAC ID
2961415443
Professional Enrollment ID
I20060731000169
Address ID
WA980523862RE15600WAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for SUSAN P WYNNE (O.D.)

  • 15600 REDMOND WAY STE 300

    REDMOND, WA 980523862

    Phone: (425) 882-2923

    Fax: (425) 869-5063

    Type: Mailing

  • Behind the Badge, 8309, 165th Avenue Northeast, Downtown Redmond, Redmond, King County, Washington, 98052, United States

    SUITE 102

    REDMOND, WA 980523939

    Phone: (425) 882-2923

    Fax: (425) 869-5063

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($147).

Total Amount

$147

General + Research + Ownership

Payments

1

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2006-07-31

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
I20060731000169IOptometryWATBD

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 minutes4027$0
View full utilization report →

Insurance plans in this area (ZIP 98052)

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Reviews

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Frequently asked questions

How is SUSAN P WYNNE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists SUSAN P WYNNE (O.D.) with NPI 1962448621.
Does CMS list SUSAN P WYNNE (O.D.) as active?
Yes — SUSAN P WYNNE (O.D.) is active in the NPI listing used on this page.
What is SUSAN P WYNNE (O.D.)'s specialty?
The listing groups SUSAN P WYNNE (O.D.) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN P WYNNE (O.D.)?
SUSAN P WYNNE (O.D.)'s geographic hint is Redmond, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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