Active NPI
Christina Marie Mabry, O.D.
- Optometrist
- Central Point, OR
National Provider Identifier
1831272178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3124 AT
- Practice address
- 3075 Hamrick Rd
Central Point, OR 97502-2844 - Phone
- (541) 734-2467
- Fax
- (541) 734-0982
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4034 | FL | |
| Optometrist | 152W00000X | 3124 AT | OR | Primary |
Addresses
Primary practice location
3075 Hamrick Rd
Central Point, OR 97502-2844
Mailing address
3075 Hamrick Rd
Central Point, OR 97502-2844
Phone (541) 734-2467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R155697 | Other | OR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001170 | OR | Practitioner - Optometry | 7618992082 |
Reassigns benefits to 1 organization Practice locations: Medford, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Dr Barnes and Associates LLC
Practice addresses (Care Compare)
3075 Hamrick Rd
Central Point, OR 97502-2844
Phone 54173424671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3124 | OR | MD | Clinical Social Worker |
| OPC 4034 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Barnes & Associates LLC | Optometrist | Current | Accepting new patients |
| Lassman'S Fine Eyewear,Inc. | Past | Accepting new patients | |
| Eagle Eye Optical Studio LLC | Past | Accepting new patients | |
| Dr. Neil Einhorn PA | Optometrist | Past | Accepting new patients |
| William Yu PA | Optometrist | Past | Accepting new patients |
Locations
3075 Hamrick Rd
Central Point, OR 97502
Phone (541) 734-2467
Organizations & group practices 5
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.
-
- Optometrist
- Central Point, OR
- NPI 1831859487
-
- Eyewear Supplier
- Medford, OR
- NPI 1316864424
-
- Optician
- Medford, OR
- NPI 1114066933
-
- Optometrist
- Miami, FL
- NPI 1417073362
-
- Optometrist
- Miami, FL
- NPI 1073817649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1831272178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 HAMRICK RD",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022844",
"telephone_number": "541-734-2467",
"fax_number": "541-734-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 HAMRICK RD",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022844",
"telephone_number": "541-734-2467",
"fax_number": "541-734-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4034",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3124 AT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R155697",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.