Individual provider Active NPI

Ashley Elizabeth Suplee, O.D

  • Optometrist
  • Riverside, CA
National Provider Identifier
1841672607
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15302TLG Issued in CA
Practice address
3297 Arlington Ave Ste 105
Riverside, CA 92506-3250
Phone
(951) 584-3937
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15302 CA
Optometrist 152W00000X 15302TLG CA Primary

Addresses

Primary practice location

3297 Arlington Ave Ste 105
Riverside, CA 92506-3250

Mailing address

3297 Arlington Ave Ste 105
Riverside, CA 92506-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102001839 CA Practitioner - Optometry 4880904903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3297 Arlington Ave
Suite 105
Riverside, CA 92506-3250
Phone (951) 584-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15302TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ashley Suplee OD Optometric Corporation Optometrist CurrentSince May 25, 2024 Accepting new patients

Locations

3297 Arlington Ave
Ste 105
Riverside, CA 92506
Phone (951) 584-3937

Interoperability endpoints

  • Direct secure messaging: ashley.suplee.p1@direct.chsica.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1841672607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 ARLINGTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 ARLINGTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063250",
            "telephone_number": "951-584-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPLEE",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-04-20",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15302",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15302TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.