Individual provider Active NPI

Mary Elizabeth Ferris, O.D., F.A.A.O.

  • Optometrist
  • Chehalis, WA
National Provider Identifier
1912190786
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4153 Issued in WA
Practice address
145 S Market Blvd
Chehalis, WA 98532-3037
Phone
(360) 506-5544
Fax
(360) 506-5547
NPI assigned
Aug 24, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4153 WA Primary

Addresses

Primary practice location

145 S Market Blvd
Chehalis, WA 98532-3037

Mailing address

145 S Market Blvd
Chehalis, WA 98532-3037
Phone (360) 506-5544

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000705 WA Practitioner - Optometry 1850437013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Eye and Vision PLLCGroup PAC ID 0143685065, 2 clinicians

Practice addresses (Care Compare)

145 S Market Blvd
Chehalis, WA 98532-3037
Phone (360) 506-5544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4153WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Eye and Vision, PLLC Optometrist CurrentSince Jun 5, 2023 Accepting new patients

Locations

145 S Market Blvd
Chehalis, WA 98532
Phone (360) 506-5544

Interoperability endpoints

  • Direct secure messaging: drmferris@theopticalshopinc.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1912190786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323037",
            "telephone_number": "360-506-5544",
            "fax_number": "360-506-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323037",
            "telephone_number": "360-506-5544",
            "fax_number": "360-506-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

Verify at the official NPI Registry.