Ashley Monique Waters

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

12278 Plank Road
Baton Rouge, LA 70811

Phone

(225) 775-9406

Fax

(225) 775-0258

NPI assigned

Jan 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ashley'S Optical, LLC

  • Eyewear Supplier
  • Baker, LA
  • NPI 1558742585

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1619021375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12278 PLANK ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70811",
            "telephone_number": "225-775-9406",
            "fax_number": "225-775-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12278 PLANK ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70811",
            "telephone_number": "225-775-9406",
            "fax_number": "225-775-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "ASHLEY",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978884",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiashane Ja'Quese Washington
• Travia Linette Washington
• Willie Hill Washington, LCSW
• Callie M Waskom, PA-C
• Alexander I Waters, CRNA
• Darlene M Waters
• Natalie Orme Waters, LSW
• Taylor Grace Waters
• William Frederick Waters, PH.D
• Frank Jackson Wathen III

• Optician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.