Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Paul Nefedov

Individual provider Optometrist · NPI 1487017075

Paul Nefedov is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients795
Services billed 1,764 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Pacific University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 30 clinicians in the practice; 12 are shown here.

Other providers in Longview