Ashley Lynae Hamblin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3564 Issued in MN

Practice address

312 Elm Ave
Moose Lake, MN 55767

Phone

(218) 485-8495

NPI assigned

Mar 9, 2018

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Minnesota Eye Care LLCGroup PAC ID 7214930429, 3 clinicians

Moose Lake Eye Care LLCGroup PAC ID 1557542982, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moose Lake Eye Care LLC

  • Optometrist
  • Moose Lake, MN
  • NPI 1548580228
  Medicare reassignment Care Compare group NPD
• Northern Minnesota Eye Care LLC

  • Optometrist
  • Cloquet, MN
  • NPI 1992754238
  Medicare reassignment Care Compare group NPD
• Moose Lake Eye Care, LLC

  dba Northern Minnesota Eye Care, LLC

  • Optometrist
  • Hinckley, MN
  • NPI 1700263985
  NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1437652070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ELM AVE",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557677706",
            "telephone_number": "218-485-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ELM AVE",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "55767",
            "telephone_number": "218-485-8495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Cloquet Ave",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557201617",
            "country_code": "US",
            "telephone_number": "218-879-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "ASHLEY",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Conrad Gregerson, MD
• Michael Gunnarson, DDS
• Charles Edward Habermann, DPT
• Allie Marie Hakamaki, DPT
• Keri A Halverson, CCC/SLP
• Anna Rose Hamner, RN
• April M Hansen, OTR/L
• Hearthstone Care Group LLC
• Teresa Hornby, RPH
• James Clinton Hubred, DDS

• Optometrist in Moose Lake, MN
• Providers in Moose Lake, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.