Erickson Laboratories, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

601571019 Issued in WA

Legal business name

ERICKSON LABORATORIES, INC

Practice address

509 Olive Way
Suite 1421
Seattle, WA 98101

Phone

(206) 622-9175

Fax

(206) 622-9378

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Sue Erickson, OCULARISTNPI 1164580270

Title

President - Owner

Phone

(206) 622-9175

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Sue Erickson, OCULARIST

  • Ocularist
  • Seattle, WA
  • NPI 1164580270
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1083868293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1421",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-622-9175",
            "fax_number": "206-622-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1421",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-622-9175",
            "fax_number": "206-622-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "206-622-9175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OCULARIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "601571019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meskerem Ereso
• James Colton Erho
• Eric Bergstrom OD, PLLC
• Eric Johnson Therapy
• Eric Vo OD LLC
• Ann Marie Erickson Russ, MHA, OTR/L
• Alyssa Erickson-Wayman, NP
• Andrew R Erickson
• Catherine Erickson, LICSW
• Corazon Espina Erickson, ARNP

• Prosthetic/Orthotic Supplier in Seattle, WA
• Providers in Seattle, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.