Individual provider Active NPI

Ashley Nicole Calvert, OD

  • Optometrist
  • Astoria, OR
National Provider Identifier
1104486356
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4469ATI Issued in OR
Practice address
553 18TH St
Astoria, OR 97103-3505
Phone
(503) 325-4401
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60969199 WA
Optometrist 152W00000X 4469ATI OR Primary

Addresses

Primary practice location

553 18TH St
Astoria, OR 97103-3505

Mailing address

1991 SE Chokeberry Ave Unit 301
Warrenton, OR 97146-7415

Other practice location 1

1703 Pacific Ave S
Long Beach, WA 98631-3400
Phone (360) 642-3214

Other practice location 2

819 S Holladay Dr
Seaside, OR 97138-6608
Phone (503) 738-5361

Other practice location 3

102 Main Ave
Tillamook, OR 97141-2218
Phone (503) 374-0399

Other names 1

  • Ashley Nicole Silva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190903001935 OR Practitioner - Optometry 4486981867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coos Eye Centers IncGroup PAC ID 0547254724, 4 clinicians
Coos Bay Vision Center, IncGroup PAC ID 6608848874, 2 clinicians

Practice addresses (Care Compare)

395 2ND St SE
Bandon, OR 97411-9605
Phone (541) 347-3622

986 Central Ave
Coos Bay, OR 97420-1736
Phone (541) 267-4224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4469ORMDOrthodontics and Dentofacial Orthopedic Dentist
4469ATIORMDOptometrist
60969199WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coos Eye Centers, Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Coos Bay Vision Center, Inc Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Coos Eye Centers, Inc. Optometrist Current Accepting new patients
Darren L Thorsen OD Optometrist CurrentSince Jul 28, 2019 Accepting new patients
Coos Eye Centers, Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

553 18th St
Astoria, OR 97103
Phone (503) 325-3661

395 2nd St SE
Bandon, OR 97411
Phone (541) 347-3622

986 Central Ave
Coos Bay, OR 97420
Phone (541) 267-4224

855 W Central Blvd
Ste A
Coquille, OR 97423
Phone (541) 396-4042

819 S Holladay Dr
Seaside, OR 97138
Phone (503) 610-1025

102 Main Ave
Tillamook, OR 97141
Phone (503) 374-0399

1703 Pacific Ave S
Long Beach, WA 98631
Phone (360) 642-3214

Interoperability endpoints

  • Direct secure messaging: ashley.calvert@direct.revolutionehr.com

Organizations & group practices 5

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1104486356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 SE CHOKEBERRY AVE UNIT 301",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971467415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 18TH ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033505",
            "telephone_number": "503-325-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "WA",
            "postal_code": "986313400",
            "country_code": "US",
            "telephone_number": "360-642-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 S Holladay Dr",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "OR",
            "postal_code": "971386608",
            "country_code": "US",
            "telephone_number": "503-738-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Tillamook",
            "state": "OR",
            "postal_code": "971412218",
            "country_code": "US",
            "telephone_number": "503-374-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60969199",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4469ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SILVA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.