Kimberly Pandiangan, OD

Optometrist in Newcastle, WA. Individual provider (NPI-1).

NPI number1992297493

StatusActive

Last updated in NPPESMay 14, 2019

Details

NPI: 1992297493
Entity type: Individual (NPI-1)
Name: Kimberly Pandiangan
Credential: OD
Sex: Female
Sole proprietor: Yes
Enumeration date: May 31, 2018
Last updated: May 14, 2019

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPTOMETRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	OD.OD.60861434	WA	Yes

Other names

Kimberly Pang (Former Name)

Practice location

6923 Coal Creek Pkwy Se
Newcastle, WA 98059-3136

Phone 425-641-2500

Mailing address

6923 Coal Creek Pkwy Se
Newcastle, WA 98059-3136

Phone 425-641-2500

Other practice locations

3219 74th Pl Se
Mercer Island, WA 98040-3463

Phone 206-300-4437

1145 Nw Gilman Blvd Ste G12
Issaquah, WA 98027-8932

Phone 425-391-9331

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Newcastle, WA

All 7 Optometrist providers in Newcastle · All 169 providers in Newcastle

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