Individual provider Active NPI

Kaitlin C Hash, O.D.

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1629428479
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60654369 Issued in WA
Practice address
16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352
Phone
(425) 787-5200
Fax
(425) 787-5252
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60654369 WA Primary

Addresses

Primary practice location

16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352

Mailing address

16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352
Phone (425) 787-5200

Other names 1

  • Kaitlin C Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60654369WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Vision Therapy and Development PLLC CurrentSince Dec 29, 2024 Accepting new patients
Christina Schiller OD PLLC Optometrist PastSince Nov 21, 2021 Accepting new patients

Locations

16006 Ash Way
Ste 101
Lynnwood, WA 98087
Phone (425) 787-5200

Organizations & group practices 2

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1629428479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY",
            "address_2": "SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200",
            "fax_number": "425-787-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY",
            "address_2": "SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200",
            "fax_number": "425-787-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASH",
        "first_name": "KAITLIN",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60654369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "ALLEN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.