Individual provider Active NPI

Kristi M Kading, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1366510737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4021TX Issued in WA
Practice address
4317 Factoria Blvd SE
A
Bellevue, WA 98006-1937
Phone
(425) 391-3222
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4021TX WA Primary

Addresses

Primary practice location

4317 Factoria Blvd SE
A
Bellevue, WA 98006-1937

Mailing address

355 Merritt PL NE
North Bend, WA 98045-8984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080204000131 WA Practitioner - Optometry 7214997766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Eyecare Group IncGroup PAC ID 8325122823, 5 clinicians

Practice addresses (Care Compare)

11830 NE 128TH St
Suite 1
Kirkland, WA 98034-7202
Phone (425) 821-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4021TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eyecare Group Inc Optometrist CurrentSince Dec 17, 2007 Accepting new patients
Northwest Vision Consultants Past Accepting new patients
Contact Lens Consultants Northwest PastSince Dec 26, 2015 Accepting new patients

Locations

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366510737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MERRITT PL NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 FACTORIA BLVD SE",
            "address_2": "A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061937",
            "telephone_number": "425-391-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADING",
        "first_name": "KRISTI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4021TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.