Organization Active NPI

Ashley K McFerron OD PC

  • Optometrist
  • Canby, OR
National Provider Identifier
1265714844
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3276ATI Issued in OR
Legal business name
ASHLEY K MCFERRON OD PC
Practice address
364 N Ivy St
Canby, OR 97013-3704
Phone
(503) 266-4847
Fax
(503) 266-1106
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Ashley K McFerron, O.D.
Title
President
Phone
(503) 819-5085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3276ATI OR Primary

Addresses

Primary practice location

364 N Ivy St
Canby, OR 97013-3704

Mailing address

364 N Ivy St
Canby, OR 97013-3704
Phone (503) 266-4847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000973 OR Part B Supplier - Clinic/Group Practice 7810161213 Receives reassigned benefits from 4 practitioners
Practice locations: Canby, OR

National Provider Directory

National Provider Directory

Locations

364 N Ivy St
Canby, OR 97013
Phone (503) 266-4847

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1265714844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 N IVY ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133704",
            "telephone_number": "503-266-4847",
            "fax_number": "503-266-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N IVY ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133704",
            "telephone_number": "503-266-4847",
            "fax_number": "503-266-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY K MCFERRON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "MCFERRON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-819-5085",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3276ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.