Christina Julia Abercrombie, OD – Optometrist

Key facts

NPI: 1346906252
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 61178760 (WA)
Practice address: 8009 S 180TH St Ste 104
Kent, WA 98032-1042
Phone: (425) 251-9200
Fax: (425) 251-9201
NPI assigned: Nov 15, 2021
Sex: Female
Sole proprietor: No

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.

Aeg Washington Professional PC Optometrist · Bellevue, WA · NPI 1134835176

Medicare reassignment Care Compare group NPD OPTOMETRIST · WA
Clearvue Vision Center, PLLC Optometrist · Kent, WA · NPI 1770754251

Medicare reassignment NPD OPTOMETRIST · WA

Medicare Care Compare profile

Specialty: Optometry
Education: New England College of Optometry, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aeg Washington Professional PC (61 clinicians)

Practice addresses (Care Compare)

1098 Alder Ave
Marysville, WA 98270-4318
Phone (360) 659-6255

12310 NE 8TH St
Suite 101
Bellevue, WA 98005-3185
Phone (425) 455-0001

8009 S 180TH St
Suite 104
Kent, WA 98032-1042
Phone (425) 251-9200

Procedures performed for Medicare patients

Procedure	Number of procedures
Cataract surgery	11

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220705002571	WA	Practitioner - Optometry	7618357955	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
61178760	WA	MD	Optometrist

Practice roles

Organization	Specialty	Status	New patients
Aeg Washington Professional PC	Optometrist	Current since Jul 11, 2024	Accepting new patients
Clearvue Vision Center, PLLC	Optometrist	Current since Aug 15, 2022	Accepting new patients

Locations

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

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

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	61178760	WA	Yes

Addresses

Primary practice location

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

Mailing address

8009 S 180TH St Ste 104
Kent, WA 98032-1042
Phone (425) 251-9200

Other practice location 1

8495 Crater Lake Hwy
White City, OR 97503-3011
Phone (541) 826-2111 ext. 3141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2022.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1346906252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 S 180TH ST STE 104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321042",
            "telephone_number": "425-251-9200",
            "fax_number": "425-251-9201"
        },
        {
            "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",
            "fax_number": "425-251-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8495 Crater Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "White City",
            "state": "OR",
            "postal_code": "975033011",
            "country_code": "US",
            "telephone_number": "541-826-2111 x3141",
            "fax_number": "541-830-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERCROMBIE",
        "first_name": "CHRISTINA",
        "middle_name": "JULIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61178760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

All providers in Kent, WA · Optometrist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.