Active NPI
Cristin Mattione, O.D.
- Vision Therapy Optometrist
- Lynnwood, WA
National Provider Identifier
1376878009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OD 60285868
- Practice address
- 16006 Ash Way Ste 101
Lynnwood, WA 98087-6352 - Phone
- (425) 787-5200
- NPI assigned
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | OD 60285868 | WA | Primary |
Addresses
Primary practice location
16006 Ash Way Ste 101
Lynnwood, WA 98087-6352
Mailing address
900 Aurora Ave N Apt 406
Seattle, WA 98109-4358
Phone (913) 909-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD 60285868 | WA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alderwood Vision Therapy and Development PLLC | Vision Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vision Therapy Optometrist
- Lynnwood, WA
- NPI 1487462180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1376878009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 AURORA AVE N APT 406",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094358",
"telephone_number": "913-909-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16006 ASH WAY STE 101",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980876352",
"telephone_number": "425-787-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIONE",
"first_name": "CRISTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "WA",
"license": "OD 60285868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.