Individual provider Active NPI

Jared B Christensen, O.D.

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1659579241
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00004150 Issued in WA
Practice address
7301 W Deschutes Ave
Suite B
Kennewick, WA 99336-7799
Phone
(509) 735-2020
NPI assigned
Jul 5, 2007
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00004150 WA Primary

Addresses

Primary practice location

7301 W Deschutes Ave
Suite B
Kennewick, WA 99336-7799

Mailing address

8505 W Gage Blvd
D107
Kennewick, WA 99336-8120
Phone (503) 680-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 4, 2021 through Nov 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00004150WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cory R Hansen OD PS Optometrist Past Accepting new patients
Lower Valley Eye Care Inc. Optometrist Past Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients

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, 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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1659579241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 W GAGE BLVD",
            "address_2": "D107",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368120",
            "telephone_number": "503-680-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JARED",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.