Individual provider Active NPI

Kalina Harrell, OD

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1922739200
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61298078 Issued in WA
Practice address
604 S Sullivan Rd Ste D
Spokane Valley, WA 99037-5129
Phone
(509) 425-0335
Fax
(509) 425-0339
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61298078 WA Primary

Addresses

Primary practice location

604 S Sullivan Rd Ste D
Spokane Valley, WA 99037-5129

Mailing address

14700 E Indiana Ave SPC 1008
Spokane Valley, WA 99216-1841
Phone (509) 596-9880

Other practice location 1

4750 N Division St Ste 1010
Spokane, WA 99207-1411
Phone (509) 596-9879

Other practice location 2

14700 E Indiana Ave Spc 1008
Spokane Valley, WA 99216-1841
Phone (509) 596-9880

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
I20220726000988 WA Practitioner - Optometry 4587045364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

3500 S Meridian
Suite 926
Puyallup, WA 98373-3749
Phone (253) 864-9353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61298078WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Vision Optometrist CurrentSince Sep 28, 2024 Accepting new patients
Kyle Sexton, O.D., LLC Optometrist CurrentSince Jun 16, 2022 Accepting new patients

Locations

625 Black Lake Blvd SW
Ste 110
Olympia, WA 98502
Phone (360) 357-2542

3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350

7330 164th Ave NE
Ste E150
Redmond, WA 98052
Phone (425) 869-2337

4750 N Division St
Ste 1010
Spokane, WA 99207
Phone (509) 596-9879

14700 E Indiana Ave
Spc 1008
Spokane Valley, WA 99216
Phone (509) 596-9880

4051 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (206) 473-2215

Interoperability endpoints

  • Direct secure messaging: kharrell@frontlinevision.eyeclinicdirect.net

Organizations & group practices 2

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": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1922739200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 E INDIANA AVE SPC 1008",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161841",
            "telephone_number": "509-596-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S SULLIVAN RD STE D",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375129",
            "telephone_number": "509-425-0335",
            "fax_number": "509-425-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 N Division St Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071411",
            "country_code": "US",
            "telephone_number": "509-596-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 E Indiana Ave Spc 1008",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161841",
            "country_code": "US",
            "telephone_number": "509-596-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "KALINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61298078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.