NPIMap

Organization Active NPI

C Fast Optometry, Inc. P.S.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1043577968
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 60093517 Issued in WA
Legal business name
C FAST OPTOMETRY, INC. P.S.
Practice address
4254 Fremont Ave N
Seattle, WA 98103-9219
Phone
(206) 634-3375
Fax
(206) 634-1453
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Christina Marie Fast, O.D.NPI 1184857732
Title
Optometrist/President
Phone
(206) 387-8451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD 60093517 WA Primary

Addresses

Primary practice location

4254 Fremont Ave N
Seattle, WA 98103-9219

Mailing address

4254 Fremont Ave N
Seattle, WA 98103-9219
Phone (206) 634-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207001323 WA Part B Supplier - Clinic/Group Practice 3870936818 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1043577968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039219",
            "telephone_number": "206-634-3375",
            "fax_number": "206-634-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039219",
            "telephone_number": "206-634-3375",
            "fax_number": "206-634-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C FAST OPTOMETRY, INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "206-387-8451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60093517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.