DR. ERIC TOPPEN O.D.
NPI 1033220363
Optometrist in Mount Vernon, WA

Q: What is Eric Toppen's NPI number?

The NPI number for Eric Toppen is 1033220363. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Eric Toppen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Toppen was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1306 ROOSEVELT AVE, MOUNT VERNON, WA 98273(615) 509-4073(206) 858-7050 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2026, May 29, 2019 (2 updates tracked since 2019).

On this page

About Dr. Eric Toppen O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC TOPPEN O.D. (NPI 1033220363) is an individual optometrist in Mount Vernon, Washington, licensed in Washington (OD70084263) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1033220363

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ERIC TOPPENCredential: O.D.

Location Address1306 ROOSEVELT AVEMount Vernon, WA 98273-2428

Mailing Address1306 Roosevelt AveMount Vernon, WA 98273-2428 · (615) 509-4073 · Fax (206) 856-7050

Phone(615) 509-4073

Fax(206) 858-7050

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1033220363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WA · OD70084263

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1306 ROOSEVELT AVE, Mount Vernon, WA 98273

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Toppen O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618233602

PECOS Enrollment IDI20260518002579

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eric Toppen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sight Partners Physicians, P.C.

Same address

Ophthalmology

1306 ROOSEVELT AVE
Mount Vernon, WA 98273

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Sight Partners Physicians PC
64 clinicians in this Medicare group

NPI 1134121593 (360) 428-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIGHT PARTNERS PHYSICIANS, P.C.

Ophthalmology

1306 ROOSEVELT AVE
MOUNT VERNON, WA 98273

Skagit County (360) 428-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Toppen's NPI number?

The NPI number for Eric Toppen is 1033220363. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Eric Toppen located?

Eric Toppen practices at 1306 Roosevelt Ave, Mount Vernon, WA 98273. The listed phone number is (615) 509-4073.

What is Eric Toppen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eric Toppen enrolled in Medicare?

Yes. Eric Toppen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eric Toppen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Toppen reassigns Medicare benefits to Sight Partners Physicians, P.C. (Mount Vernon, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Toppen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Toppen accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Eric Toppen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Toppen was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.