Individual provider Active NPI

Christopher R Salud, OD

  • Optometrist
  • Woodinville, WA
National Provider Identifier
1467184424
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61266109 Issued in WA
Practice address
17601 140TH Ave NE Ste 200
Woodinville, WA 98072-6824
Phone
(425) 483-8000
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61266109 WA Primary

Addresses

Primary practice location

17601 140TH Ave NE Ste 200
Woodinville, WA 98072-6824

Mailing address

17601 140TH Ave NE Ste 200
Woodinville, WA 98072-6824
Phone (425) 483-8000

Other practice location 1

18209 Bothell Way NE
Bothell, WA 98011-1921
Phone (425) 486-2121

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
I20220728002494 WA Practitioner - Optometry 8527440114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirkland Eye Clinic PSGroup PAC ID 0244256378, 4 clinicians

Practice addresses (Care Compare)

18209 Bothell Way NE
Bothell, WA 98011-1921
Phone (425) 486-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Eye Clinic, P.S. Optometrist CurrentSince Jul 7, 2022 Accepting new patients

Locations

18209 Bothell Way NE
Bothell, WA 98011
Phone (425) 486-2121

17601 140th Ave NE
Ste 200
Woodinville, WA 98072
Phone (425) 483-8000

17924 140th Ave NE
Ste 200
Woodinville, WA 98072
Phone (425) 483-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1467184424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 140TH AVE NE STE 200",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726824",
            "telephone_number": "425-483-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 140TH AVE NE STE 200",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726824",
            "telephone_number": "425-483-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18209 Bothell Way NE",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980111921",
            "country_code": "US",
            "telephone_number": "425-486-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALUD",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61266109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.