KIMBERLY PANDIANGAN (OD) – Optometrist, NPI 1992297493
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for KIMBERLY PANDIANGAN (OD)
1145 NW Gilman Blvd Ste G12
Issaquah, WA 980278932
Phone: (425) 391-9331
Type: Location
3219 74th Pl SE
Mercer Island, WA 980403463
Phone: (206) 300-4437
Type: Location
Coal Creek Family Vision, 6923, Coal Creek Parkway Southeast, Newcastle, King County, Washington, 98056-1330, United States
NEWCASTLE, WA 980593136
Phone: (425) 641-2500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $715.
Total Amount is formed as General ($715) + Research ($0) + Ownership ($0) = $715.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: CooperVision Inc. ($265).
Total Amount
$715
General + Research + Ownership
Payments
21
Total payment records
General Amount
$715
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $265 |
| Johnson & Johnson Vision Care, Inc. | $224 |
| Horizon Therapeutics plc | $181 |
| Alcon Vision LLC | $45 |
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: 2018-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180829004116 | I | Optometry | WA | 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 98027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA |
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