Active NPI
Monica D Erickson, BCO
- Ocularist
- Spokane, WA
National Provider Identifier
1972160612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- OS60696687
- Practice address
- 421 W Riverside Ave Ste 770
Spokane, WA 99201-0402 - Phone
- (509) 747-6148
- Fax
- (509) 638-6705
- NPI assigned
- May 28, 2019
- 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 |
|---|---|---|---|---|
| Ocularist | 156FX1700X | OS60696687 | WA | Primary |
Addresses
Primary practice location
421 W Riverside Ave Ste 770
Spokane, WA 99201-0402
Mailing address
421 W Riverside Ave Ste 770
Spokane, WA 99201-0402
Phone (509) 747-6148
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003137000 | Medicaid | ID | |
| 566943 | Medicaid | MT | |
| 9028838 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | merickson@ericksons-eyes.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS60696687 | WA | MD | Ocularist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson'S Inc | Ocularist | Current | Accepting new patients |
Locations
422 W Riverside Ave
Ste 730
Spokane, WA 99201
Phone (509) 747-6148
421 W Riverside Ave
Ste 770
Spokane, WA 99201
Phone (509) 747-6148
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": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1972160612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE STE 770",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010402",
"telephone_number": "509-747-6148",
"fax_number": "509-638-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE STE 770",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010402",
"telephone_number": "509-747-6148",
"fax_number": "509-638-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "MONICA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "BCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "WA",
"license": "OS60696687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003137000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "566943",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9028838",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "merickson@ericksons-eyes.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "422 W Riverside Ave Ste 730",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992010305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.