OLYMPIC FAMILY VISION, PLLC
NPI 1619766243
Optometrist in Aberdeen, WA

Q: What is Olympic Family Vision, PLLC's NPI number?

The NPI number for Olympic Family Vision, PLLC is 1619766243. It was assigned to this organization in the NPPES registry on May 1, 2025.

Q: What is Olympic Family Vision, PLLC's specialty?

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

Active since May 01, 2025

301 N BROADWAY ST, ABERDEEN, WA 98520(360) 533-1880(360) 533-1886 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Olympic Family Vision, Pllc NPPES

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

OLYMPIC FAMILY VISION, PLLC (NPI 1619766243) is a healthcare organization registered as an optometrist in Aberdeen, Washington and active in the NPI registry since May 2025. The organization lists Matthew Polster, Owner, as its authorized official.

NPPES Registry Identity

NPI1619766243

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOLYMPIC FAMILY VISION, PLLC

Location Address301 N BROADWAY STAberdeen, WA 98520-3933

Mailing Address301 N Broadway StAberdeen, WA 98520-3933 · (360) 533-1880 · Fax (360) 533-1886

Phone(360) 533-1880

Fax(360) 533-1886

Organization SubpartNo

Authorized OfficialMatthew PolsterOwner · (360) 533-1880

Enumeration DateMay 1, 2025

Last NPPES UpdateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1619766243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

301 N BROADWAY ST, Aberdeen, WA 98520

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olympic Family Vision, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Olympic Family Vision, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Scott Berken, O.D.

Optometry

NPI 1952490294

301 N BROADWAY ST
Aberdeen, WA 98520

(360) 533-1880

✔ PECOS✔ Accepts Medicare0.3 mi

Matthew Polster, O.D.

Optometry

NPI 1154604692

301 N BROADWAY ST STE 4
Aberdeen, WA 98520

(360) 533-1880

✔ PECOS✔ Accepts Medicare0.3 mi

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

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 Olympic Family Vision, PLLC's NPI number?

The NPI number for Olympic Family Vision, PLLC is 1619766243. It was assigned to this organization in the NPPES registry on May 1, 2025.

Where is Olympic Family Vision, PLLC located?

Olympic Family Vision, PLLC is located at 301 N Broadway St, Aberdeen, WA 98520. The listed phone number is (360) 533-1880.

What is Olympic Family Vision, PLLC's specialty?

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

Is Olympic Family Vision, PLLC enrolled in Medicare?

Yes. Olympic Family Vision, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympic Family Vision, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Olympic Family Vision, PLLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Olympic Family Vision, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympic Family Vision, PLLC 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 Olympic Family Vision, PLLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.