Active NPI
Ashley R Watters, LDO, ABOC, NCLEC
- Optician
- Spokane, WA
National Provider Identifier
1235954686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO60967750
- Practice address
- 2301 W Wellesley Ave
Spokane, WA 99205-5004 - Phone
- (509) 327-0444
- Fax
- (509) 327-0494
- NPI assigned
- Nov 20, 2024
- 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 | DO60967750 | WA | Primary |
Addresses
Primary practice location
2301 W Wellesley Ave
Spokane, WA 99205-5004
Mailing address
2616 W Sanson Ave
Spokane, WA 99205-5745
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 |
|---|---|---|---|
| DO60967750 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1235954686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 W SANSON AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992055745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W WELLESLEY AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992055004",
"telephone_number": "509-327-0444",
"fax_number": "509-327-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "ASHLEY",
"middle_name": "R",
"credential": "LDO, ABOC, NCLEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "DO60967750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.