OLYMPIC FAMILY VISION, PLLC – Optometrist, NPI 1619766243

OLYMPIC FAMILY VISION, PLLC is a healthcare provider. based in Aberdeen, Washington. specializing in Optometrist. The NPI Number for OLYMPIC FAMILY VISION, PLLC is 1619766243

Main info

Organization
Name
OLYMPIC FAMILY VISION, PLLC
NPI
1619766243
Phone
(360) 533-1880
Address
301 N BROADWAY ST
Authorized Official
DR. MATTHEW POLSTER OWNER OD
Enumeration Date
1 May 2025
Last Update Date
16 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for OLYMPIC FAMILY VISION, PLLC

  • 301 N BROADWAY ST

    ABERDEEN, WA 985203933

    Phone: (360) 533-1880

    Fax: (360) 533-1886

    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: 2025-11-13

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
O20251113000775OClinic/Group PracticeWATBD

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 98520)

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Reviews

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Frequently asked questions

Is there an official ID for OLYMPIC FAMILY VISION, PLLC in U.S. healthcare records?
The official identifier for OLYMPIC FAMILY VISION, PLLC is NPI 1619766243.
Active or inactive — what applies to OLYMPIC FAMILY VISION, PLLC?
You should see OLYMPIC FAMILY VISION, PLLC as active in CMS-hosted NPPES data.
What area of care is associated with OLYMPIC FAMILY VISION, PLLC?
OLYMPIC FAMILY VISION, PLLC's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with OLYMPIC FAMILY VISION, PLLC?
Directory geography for OLYMPIC FAMILY VISION, PLLC centers on Aberdeen, Washington.
Can I trust this NPI listing for OLYMPIC FAMILY VISION, PLLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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