Active NPI
Erick H Auyoung, O.D.
- Optometrist
- McChord Afb, WA
National Provider Identifier
1255445623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3940
- Practice address
- 504 Barnes Blvd
McChord Afb, WA 98438-1304 - Phone
- (253) 588-1731
- Fax
- (253) 588-1741
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3940 | WA | Primary |
Addresses
Primary practice location
504 Barnes Blvd
McChord Afb, WA 98438-1304
Mailing address
608 39TH Ave SW Apt D305
Puyallup, WA 98373-5908
Phone (253) 445-7963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle Sexton, O.D., LLC | Optometrist | Current | Accepting new patients |
Locations
3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350
Organizations & group practices 2
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.
-
- Optometrist
- Puyallup, WA
- NPI 1972778009
-
- Optometrist
- Puyallup, WA
- NPI 1114072485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1255445623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 39TH AVE SW APT D305",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735908",
"telephone_number": "253-445-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 BARNES BLVD",
"city": "MCCHORD AFB",
"state": "WA",
"postal_code": "984381304",
"telephone_number": "253-588-1731",
"fax_number": "253-588-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUYOUNG",
"first_name": "ERICK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McChord Afb, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.