Active NPI
Ashley Bettinger
- Optician
- Cambridge, OH
National Provider Identifier
1558068536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 011051-S
- Practice address
- 61205 Southgate Rd
Cambridge, OH 43725-8002 - Phone
- (740) 439-5444
- Fax
- (740) 439-9785
- NPI assigned
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 011051-S | OH | Primary |
Addresses
Primary practice location
61205 Southgate Rd
Cambridge, OH 43725-8002
Mailing address
38944 Ogles Ridge Rd
Dexter City, OH 45727-9759
Phone (740) 509-1907
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 |
|---|---|---|---|
| 011051-S | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1558068536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38944 OGLES RIDGE RD",
"city": "DEXTER CITY",
"state": "OH",
"postal_code": "457279759",
"telephone_number": "740-509-1907",
"fax_number": "740-439-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61205 SOUTHGATE RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258002",
"telephone_number": "740-439-5444",
"fax_number": "740-439-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTINGER",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "011051-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.