Active NPI
Rebecca Sue Erickson, OCULARIST
- Ocularist
- Seattle, WA
National Provider Identifier
1164580270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- OS 00000016
- Practice address
- 509 Olive Way
Suite 1421
Seattle, WA 98101-1749 - Phone
- (206) 622-9175
- Fax
- (206) 622-9378
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ocularist | 156FX1700X | OS 00000016 | WA | Primary |
Addresses
Primary practice location
509 Olive Way
Suite 1421
Seattle, WA 98101-1749
Mailing address
509 Olive Way
Suite 1421
Seattle, WA 98101-1749
Phone (206) 622-9175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9111006 | Medicaid | WA |
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 |
|---|---|---|---|
| OS 00000016 | WA | MD | Ocularist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Laboratories, Inc | Ocularist | Current | Accepting new patients |
Locations
509 Olive Way
Ste 1421
Seattle, WA 98101
Phone (206) 622-9175
Organizations & group practices 1
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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1164580270",
"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": "981011749",
"telephone_number": "206-622-9175",
"fax_number": "206-622-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "OCULARIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "WA",
"license": "OS 00000016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9111006",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.