DR. KRISTINE MARIE HACKETT (NPI# 1962011320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962011320 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE MARIE HACKETT |
| Credential | OD |
| Practice Address |
19301 Se 34th St Ste 104 Camas WA 98607-8881 |
| Mailing Address |
2125 Babbitt Ct Forest Grove OR 97116-2955 |
| Practice Telephone | 3602542318 |
| Mailing Telephone | 6025103983 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 61086172 | WA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | ATI4526 | OR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579328 | Kristine Marie Hackett | Nurse Practitioner | 90 Hope Dr, 366th Mdg/surgical Operations Squadron, Mountain Home Afb, ID 83648-1057 | 2005-09-20 |
| Street Address |
19301 SE 34TH ST STE 104 |
| City | CAMAS |
| State | WA |
| Zip Code | 98607-8881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832651 | An Nguyen | Family Medicine | 4500 Se Columbia Palisades Drive, Camas, WA 98607 | 2017-03-23 |
| 1861935454 | Amanda Anstead | Case Manager/Care Coordinator | 329 Lechner Street, Camas, WA 98607 | 2016-11-30 |
| 1841697604 | Samantha Christine Cunningham | Counselor | 3400 Se 196th Ave., Ste 102, Camas, WA 98607 | 2014-11-21 |
| 1588075188 | Luiza Vasiliu Pollock | Counselor | 3400 Se 196th Ave, Suite 102, Camas, WA 98607 | 2014-05-16 |
| 1801147277 | Nichol Marie Danielson | Massage Therapist | 1905 Se 192nd Ave., Suite 111, Camas, WA 98607 | 2012-09-26 |
| 1194074781 | Natasha Nicole Portman | Interpreter | 3003 Ne 3rd Ave, #210, Camas, WA 98607 | 2012-08-29 |
| 1306119334 | Jeannie Kay | Hearing Instrument Specialist | 19610 Se 1st Street, Hearing Center, Camas, WA 98607 | 2012-02-22 |
| 1447581962 | Summer Nichole Dowell | Massage Therapist | 211 Ne 4th Avenue, Camas, WA 98607 | 2010-01-22 |
| 1508098914 | Kelsey Wallace | Pharmacist | 522 Nw 24th Cir, Camas, WA 98607 | 2009-08-18 |
| 1891954111 | Sarah Sue Louise Winslow | Family Medicine | 315 Ne 192nd Ave, Suite 310, Camas, WA 98607 | 2008-06-02 |
| Find all providers in zip 98607 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629434915 | David Benjamin Davis II | Optometrist | 4810 Nw Quartz Ct, Camas, WA 98607-9108 | 2016-01-03 |
| 1457591166 | Shawn Philip Brittain | Optometrist | 2713 Nw Ivy St, Camas, WA 98607-8899 | 2009-02-20 |
| 1801085576 | Scott Robert Lewis | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2007-10-18 |
| 1124163167 | Vancouver Contact Lens & Vision Clinic Inc | Optometrist | 329 Ne 6th Ave, Camas, WA 98607-2035 | 2007-02-20 |
| 1770672255 | Jesse I Chon | Optometrist | 29307 Ne 85th Cir, Camas, WA 98607-7058 | 2006-10-12 |
| 1841239720 | Robert A Nicacio | Optometrist | 225 Ne 4th Ave, Camas, WA 98607-2125 | 2006-06-06 |
| 1346689965 | Shelley Harvey | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2013-06-17 |
| 1316233968 | Scott R Lewis, Od, Pllc | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2011-06-22 |
| 1588822548 | Mednic, PC | Optometrist | 225 Ne 4th Ave, Camas, WA 98607-2125 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| 1598301616 | Judy Quach | Optometrist | 2316 Eastgate St Ste 170, Walla Walla, WA 99362-1576 | 2019-11-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.