Active NPI
Ashley Gallauher, LDO
- Optician
- Port Angeles, WA
National Provider Identifier
1649963463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO61025596
- Practice address
- 3411 E Kolonels Way
Port Angeles, WA 98362-9089 - Phone
- (360) 452-6131
- Fax
- (360) 452-9535
- NPI assigned
- May 29, 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 | DO61025596 | WA | Primary |
Addresses
Primary practice location
3411 E Kolonels Way
Port Angeles, WA 98362-9089
Mailing address
3411 E Kolonels Way
Port Angeles, WA 98362-9089
Phone (360) 452-6131
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 |
|---|---|---|---|
| DO61025596 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1649963463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 E KOLONELS WAY",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983629089",
"telephone_number": "360-452-6131",
"fax_number": "360-452-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 E KOLONELS WAY",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983629089",
"telephone_number": "360-452-6131",
"fax_number": "360-452-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAUHER",
"first_name": "ASHLEY",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "DO61025596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.