Individual provider Active NPI

Christopher Alyn Goalwin, O.D.

  • Optometrist
  • Kent, WA
National Provider Identifier
1003746967
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.70004562 Issued in WA
Practice address
8009 S 180TH St Ste 104
Kent, WA 98032-1042
Phone
(425) 251-9200
NPI assigned
May 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD.OD.70004562 WA Primary

Addresses

Primary practice location

8009 S 180TH St Ste 104
Kent, WA 98032-1042

Mailing address

23326 SE 293Rd PL
Black Diamond, WA 98010-1218
Phone (425) 516-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 E 4TH St
Suite 440
Alton, IL 62002-6206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD.OD.70004562WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearvue Vision Center, PLLC Optometrist CurrentSince Jun 7, 2026 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jun 7, 2026 Accepting new patients

Locations

8009 S 180th St
Ste 104
Kent, WA 98032
Phone (425) 251-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1003746967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 SE 293RD PL",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980101218",
            "telephone_number": "425-516-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 S 180TH ST STE 104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321042",
            "telephone_number": "425-251-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOALWIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.70004562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.