Angela Denise Hackler, DO 60530387

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO60530387 Issued in WA

Practice address

306 5TH St
Clarkston, WA 99403-1860

Phone

(509) 758-9470

Fax

(509) 758-9478

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1558053272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 14TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013608",
            "telephone_number": "208-553-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031860",
            "telephone_number": "509-758-9470",
            "fax_number": "509-758-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLER",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "DO 60530387",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO60530387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Gundy, OTR/L
• Terry Leroy Guptill, PT,ATC
• Amy J Gustin, RD
• Danika Gwinn, MA
• Gary D Haas, D.O.
• Sierra Hadaller
• Breana Nicole Hagen-Ortiz, BS, BIS
• Molly Hajost
• Jennifer S Hammond, M.D.
• Martin Merriel Harris, O.D.

• Optician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.