Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael D Van Brocklin, OD

Individual provider Optometrist · NPI 1417992900

Dr. Michael D Van Brocklin, OD is an Optometry in Bellingham, Washington. Graduated from Pacific University - College of Optometry in 1979, 47 years ago. Practices with Pacific Cataract and Laser Institute Inc PC, a 76-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
47
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4330 Mitchell Way
Bellingham, WA 98226-9175
Phone: (360) 738-6860
Fax: (360) 738-6853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00001307 (WA)

Record details

NPI number1417992900
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing addressPo Box 1506, Chehalis, WA 98532-0409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1979 (47 years in practice)
Group practice Pacific Cataract And Laser Institute Inc Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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