Individual provider Active NPI

Kristina Woesner, O.D.

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1871802579
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60182619 Issued in WA
Practice address
1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone
(509) 926-6800
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60182619 WA Primary
Optometrist 152W00000X 60182619 WA
Optometrist 152W00000X OL042 GU

Addresses

Primary practice location

1103 N Pines Rd
Spokane Valley, WA 99206-4936

Mailing address

1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone (509) 926-6800

Other practice location 1

388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 647-0235 ext. 440

Other practice location 2

12 E Rowan Ave Ste 1
Spokane, WA 99207-1262
Phone (509) 487-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111013000294 GU Practitioner - Optometry 3779755814 Reassigns benefits to 1 organization
I20210616003168 WA Practitioner - Optometry 3779755814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates, PLLCGroup PAC ID 7315143963, 2 clinicians

Practice addresses (Care Compare)

1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone (509) 926-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OL042GUMDOptometrist
60182619WAMDOptometrist
OD60182619WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates, PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Melissa Barnhart, OD, PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
General Conference Corp of Sda CurrentSince Sep 6, 2011 Accepting new patients
James C Wavra Optometrist PastSince Sep 1, 2021 Accepting new patients

Locations

12 E Rowan Ave
Ste 1
Spokane, WA 99207
Phone (509) 466-2643

1103 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 926-6800

Organizations & group practices 4

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1871802579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064936",
            "telephone_number": "509-926-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064936",
            "telephone_number": "509-926-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 Ypao Rd",
            "address_purpose": "LOCATION",
            "city": "Tamuning",
            "state": "GU",
            "postal_code": "969133701",
            "country_code": "US",
            "telephone_number": "671-647-0235 x440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 E Rowan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071262",
            "country_code": "US",
            "telephone_number": "509-487-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOESNER",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60182619",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60182619",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GU",
            "license": "OL042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.