Active NPI
Jenni Rubio Aaseby, O.D.
- Optometrist
- Shelton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003984
- Practice address
- 1701 N 13TH St
Shelton, WA 98584-2077 - Phone
- (360) 426-2653
- NPI assigned
- Jan 24, 2007
- Last updated
- Feb 3, 2021
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003984 | WA | Primary |
Addresses
Primary practice location
1701 N 13TH St
Shelton, WA 98584-2077
Mailing address
PO Box 1668
Shelton, WA 98584-5001
Phone (604) 262-6533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Hawks Prairie Vision Clinic, P.S. | Current | Accepting new patients | |
| Teresa a E Wills OD | Optometrist | Past | Accepting new patients |
Locations
2539 Marvin Rd NE
Ste B
Lacey, WA 98516
Phone (360) 459-3333
1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653
2300 Kati Ct
Ste C
Shelton, WA 98584
Phone (360) 426-0955
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Lacey, WA
- NPI 1952583536
-
dba Mason Health-Mason General Hospital
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1720133374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1668",
"city": "SHELTON",
"state": "WA",
"postal_code": "985845001",
"telephone_number": "604-262-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N 13TH ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842077",
"telephone_number": "360-426-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AASEBY",
"first_name": "JENNI",
"middle_name": "RUBIO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.