Ricki-Lee Halling, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1576 Issued in AZ

Practice address

2730 Via Palma
Lake Havasu City, AZ 86406-7730

Phone

(928) 486-7527

NPI assigned

Apr 30, 2008

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)

Enrolled

State licenses

Practice roles

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.

• Jason Wonch, O.D. and Associates, a.P.C.

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1972779817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3136",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053136",
            "telephone_number": "928-486-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 VIA PALMA",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067730",
            "telephone_number": "928-486-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLING",
        "first_name": "RICKI-LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Gutierrez, DPT
• Nicole Anne Guzzo, PAC
• Mercedes Evelyn Haile
• Mary Consuelo Halfacre Buie, PT
• Laura Ashlee Hall, MS CCC SLP
• Craig Baron Halverson
• Kathryn Avila Hammond, MS, CCC
• Hanger Prosthetics & Orthotics West Inc
• Tammy Lynn Hankins
• Warren Tracy Hankins, M.D.

• Optometrist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.