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

Paul Nefedov

Individual provider Optometrist · NPI 1487017075

Paul Nefedov is an Optometry in Longview, Washington. Graduated from Pacific University - College of Optometry in 2017, 9 years ago. Practices with Pacific University, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Oregon and Washington.

Years since qualifying
9
Trained at
Pacific University - College of Optometry
Licensed in
CA, OR, WA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

600 Triangle Ctr Ste 400
Longview, WA 98632-4667
Phone: (360) 423-0220
Fax: (360) 423-0697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2375 Ne Highway 99w, McMinnville, OR 97128-9201 — (503) 434-1183
  • 600 Triangle Ctr, Longivew, WA 98632-4667 — (360) 423-0220

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4325 (OR)
Optometrist Taxonomy 152W00000X · Licence 33688 (CA)
Optometrist Taxonomy 152W00000X · Licence OD60997195 (WA)

Record details

NPI number1487017075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESJune 17, 2022
Certification dateJune 14, 2022
Mailing address600 Triangle Ctr Ste 400, Longview, WA 98632-4667

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Pacific University — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Longview