Individual provider Active NPI

Christina Vogel, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1013911866
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12378TPA Issued in CA
Practice address
8120 Timberlake Way
Ste 211
Sacramento, CA 95823-5414
Phone
(916) 423-2134
Fax
(916) 423-4477
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12378TPA CA Primary

Addresses

Primary practice location

8120 Timberlake Way
Ste 211
Sacramento, CA 95823-5414

Mailing address

320 H St
Ste 4
Marysville, CA 95901-5834
Phone (530) 743-4453

Other names 1

  • Christina Wofford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220517001527 WA Practitioner - Optometry 2567356520 Reassigns benefits to 1 organization
I20241216002794 ID Practitioner - Optometry 2567356520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breazeal and Associates PA IncGroup PAC ID 4789829367, 2 clinicians

Practice addresses (Care Compare)

8220 N Cornerstone Dr
Suite a
Hayden, ID 83835-8683
Phone (208) 772-5539

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12378TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brautigam & Schnibbe O DS P S Optometrist CurrentSince May 3, 2022 Accepting new patients
Breazeal & Associates PA Inc Optometrist CurrentSince Feb 3, 2025 Accepting new patients
Melissa Barnhart, OD, PLLC Optometrist CurrentSince May 3, 2022 Accepting new patients
James C Wavra Optometrist PastSince May 3, 2022 Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Locations

8220 N Cornerstone Dr
#A
Hayden, ID 83835
Phone (208) 772-5539

12 E Rowan Ave
Ste 1
Spokane, WA 99207
Phone (509) 466-2643

12121 E Broadway Ave
Ste 1
Spokane Valley, WA 99206
Phone (509) 928-1212

Organizations & group practices 5

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1013911866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 H ST",
            "address_2": "STE 4",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015834",
            "telephone_number": "530-743-4453",
            "fax_number": "530-743-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY",
            "address_2": "STE 211",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235414",
            "telephone_number": "916-423-2134",
            "fax_number": "916-423-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "CHRISTINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12378TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "WOFFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.