Individual provider Active NPI

Christina Farag, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1639365984
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00003925 Issued in WA
Practice address
1135 116TH Ave NE Ste 450
Bellevue, WA 98004-4623
Phone
(425) 450-6990
Fax
(425) 450-8807
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003925 WA
Optometrist 152W00000X 00003925 WA Primary

Addresses

Primary practice location

1135 116TH Ave NE Ste 450
Bellevue, WA 98004-4623

Mailing address

12301 NE 10TH PL
Ste 200
Bellevue, WA 98005-2487
Phone (425) 450-2020

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
I20071127000357 WA Practitioner - Optometry 6103863212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12301 NE 10TH PL
Suite 200
Bellevue, WA 98005-2487
Phone 4254502020245

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00003925WAMDAddiction (Substance Use Disorder) Counselor
OD00003925WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Vision Institute, PLLC CurrentSince Dec 17, 2021 Accepting new patients
Northwest Vision Institute, PLLC CurrentSince Dec 17, 2021 Accepting new patients
Durrie Vision, PA Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

12301 NE 10th Pl
Ste 200
Bellevue, WA 98005
Phone (425) 450-2020

11800 NE 128th St
Ste 110
Kirkland, WA 98034
Phone 4254502020 ext. 245

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

Interoperability endpoints

  • Direct secure messaging: cfarag@nvi.intellechartdirect.net

Organizations & group practices 3

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1639365984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL",
            "address_2": "STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 450",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-450-6990",
            "fax_number": "425-450-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "CHRISTINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003925",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "00003925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.