Rebecca E Doherty, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1556 Issued in WA

Practice address

216 E 5TH St Ste a
Port Angeles, WA 98362-3008

Phone

(360) 417-1244

Fax

(360) 417-1245

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

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

Other names 1

• Becky Doherty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Prismoid Optical Laboratory, Inc Dba Bec's Specs

  dba Bec's Specs

  • Optician
  • Port Angeles, WA
  • NPI 1245795574
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1750846093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620134",
            "telephone_number": "360-417-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 5TH ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623008",
            "telephone_number": "360-417-1244",
            "fax_number": "360-417-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "1556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA TEAMSTERS",
            "identifier": "WA1410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "DOHERTY",
            "credential": "LDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dirk a. Gouge, D.O.
• Ianir Divinsky, MD
• Miklo Jashua Dixon, BHT,CNA
• Dixons Recovery Ranch Outreach
• Jaymes Allison Doane, CDP
• Kisha D Donaldson
• Reynold Drew Donovan, D.D.S.
• Janelle Margaret Doolittle, ND
• Laura Lea Dotlich, RN BSN
• Mary Douglas, OTRL, CHT

• Optician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.