Individual provider Active NPI

Cristin Mattione, O.D.

  • Vision Therapy Optometrist
  • Lynnwood, WA
National Provider Identifier
1376878009
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OD 60285868 Issued in WA
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

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OD 60285868WAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Vision Therapy and Development PLLC Vision Therapy PastSince Dec 29, 2024 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.

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.

Verify at the official NPI Registry.