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DR. GARY PHILIP ARCHER O.D.
NPI 1790864205
Optometrist in Kirkland, WA

Active since November 03, 2006PECOS Enrolled
14050 JUANITA DR NE STE A, KIRKLAND, WA 98034(425) 820-2020(425) 821-9576 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gary Philip Archer O.d. NPPES

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

DR. GARY PHILIP ARCHER O.D. (NPI 1790864205) is an individual optometrist in Kirkland, Washington, licensed in Washington (OD00001793) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790864205
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY PHILIP ARCHERCredential: O.D.
Location Address14050 JUANITA DR NE STE AKirkland, WA 98034
Mailing Address14050 Juanita Dr Ne Ste AKirkland, WA 98034 · (425) 820-2020 · Fax (425) 821-9576
Phone(425) 820-2020
Fax(425) 821-9576
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 8, 2015
✔ NPI 1790864205 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 · OD00001793
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.
14050 JUANITA DR NE STE A, Kirkland, WA 98034
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Other Identifiers 1

Medicare UPINT-02007WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Philip Archer O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Gary Archer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayemura, Inc.
Same address
Optometrist
14050 JUANITA DR NE, STE. A
Bothell, WA 98011
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
NPI 1427299056 (425) 820-2020
Highland Vision Clinic, P.S.
5.5 mi
Optometrist
701 N 182ND ST, SUITE 101
Shoreline, WA 98133
  • Reassigned Medicare billing, Washington enrollment
  • 6 clinicians in this Medicare group
NPI 1255406351 (206) 542-7406

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

DR. KATHERINE Y SHEN O.D.
Optometrist
14050 JUANITA DR NE STE A
KIRKLAND, WA 98034
King County (425) 820-2020

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 Gary Archer's NPI number?

The NPI number for Gary Archer is 1790864205. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Gary Archer located?

Gary Archer practices at 14050 Juanita Dr NE Ste A, Kirkland, WA 98034. The listed phone number is (425) 820-2020.

What is Gary Archer's specialty?

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

Is Gary Archer enrolled in Medicare?

Yes. Gary Archer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Archer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Archer reassigns Medicare benefits to 2 organizations: Mayemura, Inc. (Bothell, WA) and Highland Vision Clinic, P.S. (Shoreline, WA). Each 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 Gary Archer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Archer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Gary Archer 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 Gary Archer was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.