Active NPI
Claudia Mary Fleurantin Erisca, O.D.
- Optometrist
- Shoreline, WA
National Provider Identifier
1477769560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3681TX
- Practice address
- 1175 N 205TH St
Shoreline, WA 98133-3206 - Phone
- (206) 533-8170
- Fax
- (206) 971-5068
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4129 | FL | |
| Optometrist | 152W00000X | 3681TX | WA | Primary |
Addresses
Primary practice location
1175 N 205TH St
Shoreline, WA 98133-3206
Mailing address
6715 141St St SE
Snohomish, WA 98296-8961
Phone (425) 357-1220
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4129 | FL | MD | Optometrist |
| 3681TX | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1477769560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 141ST ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982968961",
"telephone_number": "425-357-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 N 205TH ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981333206",
"telephone_number": "206-533-8170",
"fax_number": "206-971-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURANTIN ERISCA",
"first_name": "CLAUDIA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4129",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3681TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.