1. Home
  2. Directory
  3. Washington
  4. Arlington
  5. Optometrist
  6. NPI Profile

KIRKLAND DEVERS OD
NPI 1174242879
Optometrist in Arlington, WA

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
4011 172ND ST NE, ARLINGTON, WA 98223(360) 454-1936(360) 454-1991 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Aug 25, 2022 (2 updates tracked since 2022).

About Kirkland Devers Od NPPES

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

KIRKLAND DEVERS OD (NPI 1174242879) is an individual optometrist in Arlington, Washington, licensed in Washington (OD61435299) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2022).

NPPES Registry Identity

NPI1174242879
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKIRKLAND DEVERSCredential: OD
Location Address4011 172ND ST NEArlington, WA 98223-7355
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Phone(360) 454-1936
Fax(360) 454-1991
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2022
Enumeration DateAugust 25, 2022
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1174242879 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 · OD61435299
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.
4011 172ND ST NE, Arlington, WA 98223
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kirkland Devers Od 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 ID941656953
PECOS Enrollment IDI20231027000770
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98223 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 8

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

DR. RICHARD GRANT NIELSEN AU.D.
Audiologist
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (425) 259-0966
DR. ALANNA EDITH GOODMAN M.D.
Anesthesiology
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (142) 525-9096
OPTUM CARE WASHINGTON PLLC
Clinic/Center (Multi-Specialty)
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (425) 259-0966
MRS. JESSIE JIYEON DZIDUCH FNP-C
Nurse Practitioner
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (142) 525-9096
OPTUM CARE WASHINGTON PLLC
Clinic/Center (Ambulatory Surgical)
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (360) 454-1900
DR. LAUREN M TALBERT O.D.
Optometrist
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (360) 454-1936
CHRISTOPHER TONN M.D.
Otolaryngology
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (425) 259-0966
EDWARD KIM
Physical Medicine & Rehabilitation (Pain Medicine)
4011 172ND ST NE
ARLINGTON, WA 98223
Snohomish County (425) 259-0966

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 Kirkland Devers's NPI number?

The NPI number for Kirkland Devers is 1174242879. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Kirkland Devers located?

Kirkland Devers practices at 4011 172nd St NE, Arlington, WA 98223. The listed phone number is (360) 454-1936.

What is Kirkland Devers's specialty?

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

Is Kirkland Devers enrolled in Medicare?

Yes. Kirkland Devers 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.

What insurance does Kirkland Devers accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Kirkland Devers 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 Kirkland Devers was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.