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

DR. MINA FORDYCE O.D.
NPI 1922333012
Optometrist in Bellevue, WA

Active since October 07, 2009PECOS Enrolled
12310 NE 8TH ST, STE 101, BELLEVUE, WA 98005(425) 558-9082(425) 558-9089 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mina Fordyce O.d. NPPES

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

DR. MINA FORDYCE O.D. (NPI 1922333012) is an individual optometrist in Bellevue, Washington, licensed in Washington (60226320) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2011).

NPPES Registry Identity

NPI1922333012
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MINA FORDYCECredential: O.D.
Location Address12310 NE 8TH ST, STE 101Bellevue, WA 98005-3185
Mailing Address15902 Ne 27th PlBellevue, WA 98008-2248 · (253) 351-0092
Phone(425) 558-9082
Fax(425) 558-9089
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2011
Enumeration DateOctober 7, 2009
Last NPPES UpdateFebruary 5, 2018
✔ NPI 1922333012 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 · 60226320
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.
12310 NE 8TH ST, Bellevue, WA 98005
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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. Mina Fordyce O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406025964
PECOS Enrollment IDI20251022003427
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 Mina Fordyce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington Visionary Eyecare PLLC
20 mi
Optometrist
11700 MUKILTEO SPEEDWAY STE 501
Mukilteo, WA 98275
  • Reassigned Medicare billing, Washington enrollment
  • 9 clinicians in this Medicare group
NPI 1629671599 (425) 315-8300
Nicholas L Clark, Od, LLC
174 mi
Optometrist
2185 NW 2ND ST
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1548513583 (503) 435-1231

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98005 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 4

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

DR. GRANT EDWARD LINDBERG OD
Optometrist
12310 NE 8TH ST, SUITE 101
BELLEVUE, WA 98005
King County (425) 455-0001
BRUCE A BEAULAURIER OD
Optometrist
12310 NE 8TH ST, SUITE 101
BELLEVUE, WA 98005
King County (425) 455-0001
EYECARE CENTER LLC
Optometrist
12310 NE 8TH ST, STE 101
BELLEVUE, WA 98005
King County (425) 455-0001
DAVID A RUMPF OD
Optometrist
12310 NE 8TH ST, SUITE 101
BELLEVUE, WA 98005
King County (425) 455-0001

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 Mina Fordyce's NPI number?

The NPI number for Mina Fordyce is 1922333012. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Mina Fordyce located?

Mina Fordyce practices at 12310 NE 8th St Ste 101, Bellevue, WA 98005. The listed phone number is (425) 558-9082.

What is Mina Fordyce's specialty?

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

Is Mina Fordyce enrolled in Medicare?

Yes. Mina Fordyce is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mina Fordyce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mina Fordyce reassigns Medicare benefits to 2 organizations: Washington Visionary Eyecare PLLC (Mukilteo, WA) and Nicholas L Clark, Od, LLC (Mcminnville, OR). 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 Mina Fordyce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mina Fordyce accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Mina Fordyce 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 Mina Fordyce was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.