Eye 5 Optical – Optometrist, NPI 1518560184

Eye 5 Optical is a healthcare provider. based in Tacoma, Washington. specializing in Optometrist. The NPI Number for Eye 5 Optical is 1518560184

Main info

Organization
Name
Eye 5 Optical
NPI
1518560184
Phone
Not provided
Address
415 N G ST
Authorized Official
KORY BOTELHO CEO OD
Enumeration Date
17 November 2020
Last Update Date
22 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Eye 5 Optical

  • 415 N G ST

    TACOMA, WA 984032328

    Phone:

    Type: Mailing

  • 411 STRANDER BLVD STE 202

    TUKWILA, WA 981882959

    Phone: (206) 575-4396

    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: 2021-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (143 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20210125002164OClinic/Group PracticeWA2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 98403)

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Reviews

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Frequently asked questions

What is the standard ID for Eye 5 Optical in the U.S.?
In the U.S., Eye 5 Optical is identified by NPI 1518560184.
Is Eye 5 Optical's NPI status active today?
Active status means Eye 5 Optical's NPI record is not deactivated in the public file.
How should patients interpret Eye 5 Optical's specialty?
The extract shows Optometrist for Eye 5 Optical. Clinical services aligned with this taxonomy classification.
What city is tied to Eye 5 Optical?
The directory associates Eye 5 Optical with Tacoma, Washington. Check all listed addresses for suites or satellite offices.
Can I export Eye 5 Optical's record?
You can download the official NPPES record; we summarize key fields for readability.

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