Individual provider Active NPI

Monica D Erickson, BCO

  • Ocularist
  • Spokane, WA
National Provider Identifier
1972160612
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
OS60696687 Issued in WA
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

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003137000MedicaidID
566943MedicaidMT
9028838MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
OS60696687WAMDOcularist

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson'S Inc Ocularist CurrentSince Apr 20, 2021 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.

Verify at the official NPI Registry.