Individual provider Active NPI

Ashley Kristine Butler, O.D.

  • Optometrist
  • Oceanside, CA
National Provider Identifier
1386932374
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT14205 Issued in CA
Practice address
3637 Vista Way
Oceanside, CA 92056-4522
Phone
(760) 758-2008
Fax
(760) 758-2004
NPI assigned
Jul 12, 2011
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT14205 CA Primary

Addresses

Primary practice location

3637 Vista Way
Oceanside, CA 92056-4522

Mailing address

477 North El Camino Real
Suite C202
Encinitas, CA 92024
Phone (866) 656-9221

Other practice location 1

477 North El Camino Real
Suite C202
Encinitas, CA 92024
Phone (866) 656-9221

Other practice location 2

555 N 13th Ave
Upland, CA 91786-4904
Phone (909) 277-2420

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110811000857 CA Practitioner - Optometry 2860661659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT14205CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute a Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Robert B Pendleton MD PHD Inc CurrentSince Aug 1, 2020 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

3637 Vista Way
Oceanside, CA 92056
Phone (760) 758-2008

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Interoperability endpoints

  • Direct secure messaging: abutler@pacificeyelaser.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1386932374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 NORTH EL CAMINO REAL",
            "address_2": "SUITE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "866-656-9221",
            "fax_number": "760-753-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-758-2008",
            "fax_number": "760-758-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 North El Camino Real",
            "address_2": "Suite C202",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "92024",
            "country_code": "US",
            "telephone_number": "866-656-9221",
            "fax_number": "760-753-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864904",
            "country_code": "US",
            "telephone_number": "909-277-2420",
            "fax_number": "909-206-1097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ASHLEY",
        "middle_name": "KRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.