Ashley Iketani

Primary specialty

OptometristTaxonomy code 152W00000X

License

2527 Issued in NC

Practice address

205 E Council St Ste B
Salisbury, NC 28144-5067

Phone

(704) 310-5002

Fax

(704) 310-5003

NPI assigned

Aug 15, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1609356161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E COUNCIL ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445067",
            "telephone_number": "704-310-5002",
            "fax_number": "704-310-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E COUNCIL ST STE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445067",
            "telephone_number": "704-310-5002",
            "fax_number": "704-310-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Council St Ste B",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281445067",
            "country_code": "US",
            "telephone_number": "704-310-5002",
            "fax_number": "704-310-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKETANI",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.