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

Kevin Michael Simmons, OD

Individual provider Optometrist · NPI 1407101892

Kevin Michael Simmons, OD is an Optometry in Bellevue, Washington. Graduated from Pacific University - College of Optometry in 2012, 14 years ago. Practices with Pinecone Vision Center, PA, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Trained at
Pacific University - College of Optometry
Licensed in
MN
In the registry since
2012
Specialties on file
3
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

14645 Bel Red Rd Bldg E Ste 102
Bellevue, WA 98007-3929
Phone: (425) 432-6056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence MN3454 (MN)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence MN3454 (MN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence MN3454 (MN)

Record details

NPI number1407101892
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 20, 2012
Last updated in NPPESMay 9, 2016
Mailing address2180 Troop Dr, Apt D104, Sartell, MN 56377-4563

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Pinecone Vision Center, Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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