Ashley Kettler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPTT340 Issued in AK

Practice address

2211 E Northern Lights Blvd Ste 202
Anchorage, AK 99508

Phone

(949) 607-9964

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashley Kettler OD LLCGroup PAC ID 0143554667, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ashley Kettler, OD, LLC

  • Optometrist
  • Anchorage, AK
  • NPI 1932670676
  Medicare reassignment Care Compare group NPD Authorized official
• Northern Lights Eye Care Inc.

  • Optometrist
  • Anchorage, AK
  • NPI 1578626859
  Medicare reassignment NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD
• Mednorth Kalispell Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Kalispell, MT
  • NPI 1467690396
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1336580943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084130",
            "telephone_number": "949-607-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "949-607-9964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33965 Calle La Primavera",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926292023",
            "country_code": "US",
            "telephone_number": "949-607-9964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14625",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "OPTT340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625251",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Kessler, CST,FA
• Shirley Ketah, MS, CDC1
• Katy Violet Ketchum Smith, M.S.C.P.
• Linden Jane Ketchum, BA
• Corey Kettering
• Ketz Chiropractic LLC
• Kelly Lee Ketz, D.C.
• Kevin M Easley DMD PC
• Kevin M Tomera MD Inc
• Keystone Chiropractic PC

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.