Mandy Leigh Scrivens, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

266563 Issued in WA

Practice address

1201 SW 13TH Ave
Battle Ground, WA 98604-2800

Phone

(360) 723-9010

Fax

(360) 687-1771

NPI assigned

Dec 15, 2023

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1780452078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9010",
            "fax_number": "360-687-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9010",
            "fax_number": "360-687-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVENS",
        "first_name": "MANDY",
        "middle_name": "LEIGH",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "266563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Bryawn Samara
• Stephanie Sanderson, NP-BC
• Jean Marie Sangenito, BSN, RN
• Arti Tripathi Saraswat, MD, MPH
• Gudrun Schramm, LMP, LMT
• Matthew Scrivens
• Samantha Scully, LMT, CPT, IHP
• Benjy D Scurlock, PHARMD
• Sea - Mar Community Health Center
• Sea - Mar Community Health Center

• Optician in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.