Individual provider Active NPI

Christina Marie Mabry, O.D.

  • Optometrist
  • Central Point, OR
National Provider Identifier
1831272178
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3124 AT Issued in OR
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

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R155697OtherORPTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 4 clinicians

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

LicenseStateTypeSpecialty
3124ORMDClinical Social Worker
OPC 4034FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Barnes & Associates LLC Optometrist CurrentSince Jan 20, 2025 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 PastSince Feb 19, 2011 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.

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

Verify at the official NPI Registry.