NPIMap

Organization Active NPI

C Fast Optometry Bellingham Inc PS

Doing business as C Fast Optometry

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1174246557
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
C FAST OPTOMETRY BELLINGHAM INC PS
Doing business as
C Fast Optometry
C Fast Optometry Bellingham
Practice address
1303 Cornwall Ave
Located Inside Eyes on Fremont Bellingham
Bellingham, WA 98225-4716
Phone
(206) 634-3375
Fax
(206) 639-2346
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Dr. Christina M Fast, ODNPI 1184857732
Title
President
Phone
(206) 634-3375

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1303 Cornwall Ave
Located Inside Eyes on Fremont Bellingham
Bellingham, WA 98225-4716

Mailing address

742 6TH Ave NW
Issaquah, WA 98027-2830
Phone (206) 634-3375

Other identifiers 1

IdentifierTypeStateIssuer
604-968-337OtherWAUBI

Other names 2

  • C Fast Optometry Doing business as
  • C Fast Optometry Bellingham Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230126001446 WA Part B Supplier - Clinic/Group Practice 5698146892 Receives reassigned benefits from 4 practitioners
Practice locations: Bellingham, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1174246557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 6TH AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272830",
            "telephone_number": "206-634-3375",
            "fax_number": "206-639-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CORNWALL AVE",
            "address_2": "LOCATED INSIDE EYES ON FREMONT BELLINGHAM",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254716",
            "telephone_number": "206-634-3375",
            "fax_number": "206-639-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C FAST OPTOMETRY BELLINGHAM INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-634-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "604-968-337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C Fast Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "C Fast Optometry Bellingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.