PACIFIC NORTHWEST EYE CARE
NPI 1659435709
Optometrist in Olympia, WA

Active since December 21, 2006
1940 BLACK LAKE BLVD SW, OLYMPIA, WA 98512(360) 570-1780(360) 570-1801 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Northwest Eye Care NPPES

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

PACIFIC NORTHWEST EYE CARE (NPI 1659435709) is a healthcare organization registered as an optometrist in Olympia, Washington and active in the NPI registry since December 2006. The organization lists Ben Harold Wong, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1659435709
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePACIFIC NORTHWEST EYE CARE, PS
Location Address1940 BLACK LAKE BLVD SWOlympia, WA 98512-5651
Mailing Address1940 Black Lake Blvd SwOlympia, WA 98512-5651 · (360) 570-1780 · Fax (360) 570-1801
Fax(360) 570-1801
Organization SubpartNo
Authorized OfficialBen Harold WongCo-owner · (360) 570-1780
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 21, 2008
✔ NPI 1659435709 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.
1940 BLACK LAKE BLVD SW, Olympia, WA 98512

Other Names 1

Doing Business AsPacific Northwest Eye Care

Other Identifiers 3

Medicare PINAB28016WA
Medicare NSC4198630001WA
Medicaid2025112WA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Northwest Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20040322000464Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pacific Northwest Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1285700484
1940 BLACK LAKE BLVD SW
Olympia, WA 98512
(360) 570-1780
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1275609463
1940 BLACK LAKE BLVD SW
Olympia, WA 98512
(360) 570-1780
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1427113794
625 BLACK LAKE BLVD SW STE 369
Olympia, WA 98502
(360) 753-4533
✔ PECOS✔ Accepts Medicare0.9 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 Pacific Northwest Eye Care, Ps's NPI number?

The NPI number for Pacific Northwest Eye Care, Ps is 1659435709. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Pacific Northwest Eye Care.

Where is Pacific Northwest Eye Care, Ps located?

Pacific Northwest Eye Care, Ps is located at 1940 Black Lake Blvd SW, Olympia, WA 98512. The listed phone number is (360) 570-1780.

What is Pacific Northwest Eye Care, Ps's specialty?

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

Is Pacific Northwest Eye Care, Ps enrolled in Medicare?

Yes. Pacific Northwest Eye Care, Ps is registered in the Medicare PECOS enrollment system.

When is Pacific Northwest Eye Care, Ps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pacific Northwest Eye Care, Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Pacific Northwest Eye Care, Ps. 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Northwest Eye Care, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Northwest Eye Care, Ps 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 Pacific Northwest Eye Care, Ps was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.