Individual provider Active NPI

Richard Ahrens, L.D.O.

  • Optician
  • Monroe, WA
National Provider Identifier
1356496871
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO00000565 Issued in WA
Practice address
121 E Main St
Monroe, WA 98272-1505
Phone
(360) 794-5941
Fax
(360) 200-5278
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO00000565 WA Primary

Addresses

Primary practice location

121 E Main St
Monroe, WA 98272-1505

Mailing address

121 E Main St
Monroe, WA 98272-1505
Phone (360) 794-5941

Other identifiers 1

IdentifierTypeStateIssuer
2030583MedicaidWA

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
DO00000565WAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahrens Valley Eyeworks Current Accepting new patients

Locations

121 E Main St
Monroe, WA 98272
Phone (360) 794-5941

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1356496871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721505",
            "telephone_number": "360-794-5941",
            "fax_number": "360-200-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721505",
            "telephone_number": "360-794-5941",
            "fax_number": "360-200-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "L.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO00000565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030583",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.