Active NPI
Rachel Crites, L.D.O.
- Optician
- Ellensburg, WA
National Provider Identifier
1104285311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO60136514
- Practice address
- 317 N Pearl St
Ellensburg, WA 98926-3363 - Phone
- (509) 899-9333
- Fax
- (509) 210-5575
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO60136514 | WA | Primary |
Addresses
Primary practice location
317 N Pearl St
Ellensburg, WA 98926-3363
Mailing address
317 N Pearl St
Ellensburg, WA 98926-3363
Phone (509) 899-9333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603510963 | Other | WA | UBI |
| 47-4188629 | Other | WA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO60136514 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1104285311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N PEARL ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263363",
"telephone_number": "509-899-9333",
"fax_number": "509-210-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N PEARL ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263363",
"telephone_number": "509-899-9333",
"fax_number": "509-210-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITES",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "L.D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "DO60136514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "603510963",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "47-4188629",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.