Individual provider Active NPI

Christina Tran

  • Optometrist
  • Redmond, WA
National Provider Identifier
1497494397
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61313326 Issued in WA
Practice address
8862 161St Ave NE Ste 105
Redmond, WA 98052-7553
Phone
(425) 881-6655
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61313326 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8862 161St Ave NE Ste 105
Redmond, WA 98052-7553

Mailing address

2733 Jones Ave NE
Renton, WA 98056-2268

Other practice location 1

2043 College Way Bldg 2221
Forest Grove, OR 97116-1756
Phone (503) 352-2020

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
I20230303001464 WA Practitioner - Optometry 8729451232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61313326WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vision Corporation CurrentSince Feb 28, 2023 Accepting new patients

Locations

958 111th Ave NE
Ste 102
Bellevue, WA 98004
Phone (425) 747-7887

328 Central Way
Kirkland, WA 98033
Phone (425) 968-8279

8862 161st Ave NE
Ste 105
Redmond, WA 98052
Phone (425) 881-6655

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1497494397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 JONES AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 161ST AVE NE STE 105",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527553",
            "telephone_number": "425-881-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 College Way Bldg 2221",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161756",
            "country_code": "US",
            "telephone_number": "503-352-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61313326",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.