Individual provider Active NPI

Araceli Leon Alvarado, ABO CERTIFICATION

  • Optician
  • Sunnyside, WA
National Provider Identifier
1326730904
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO60826830 Issued in WA
Practice address
2675 E Lincoln Ave
Sunnyside, WA 98944-2485
Phone
(509) 839-4575
Fax
(509) 839-4575
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO60826830 WA Primary

Addresses

Primary practice location

2675 E Lincoln Ave
Sunnyside, WA 98944-2485

Mailing address

2675 E Lincoln Ave
Sunnyside, WA 98944-2485
Phone (509) 839-4575

Other names 1

  • Araceli Leon Alvarado Other name

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

LicenseStateTypeSpecialty
DO60826830WAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1326730904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442485",
            "telephone_number": "509-839-4575",
            "fax_number": "509-839-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442485",
            "telephone_number": "509-839-4575",
            "fax_number": "509-839-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON ALVARADO",
        "first_name": "ARACELI",
        "credential": "ABO CERTIFICATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO60826830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARACELI",
            "last_name": "LEON ALVARADO",
            "credential": "NCLE CERTIFICATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.