ASHLEY KETTLER (NPI# 1336580943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336580943 |
| Entity Type | Individual |
| Full Name | ASHLEY KETTLER |
| Credential | O.D. |
| Practice Address |
2211 E Northern Lights Blvd Ste 202 Anchorage AK 99508 |
| Mailing Address |
2211 E Northern Lights Blvd Ste 202 Anchorage AK 99508-4130 |
| Practice Telephone | 9496079964 |
| Mailing Telephone | 9496079964 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPTT340 | AK | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 14625 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1625251 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33965 Calle La Primavera, Dana Point, CA 926292023 | 9496079964 |
| Street Address |
2211 E NORTHERN LIGHTS BLVD STE 202 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670676 | Ashley Kettler, Od, LLC | Optometrist | 2211 E Northern Lights Blvd Ste 202, Anchorage, AK 99508-4130 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821635293 | Rennard Eyecare, LLC | Optometrist | 600 E Northern Lights Blvd Ste 136b, Anchorage, AK 99503-4162 | 2019-12-04 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1992278170 | Ursa Optical, LLC | Optometrist | 400 L St Ste 104, Anchorage, AK 99501-1900 | 2019-01-09 |
| 1245700459 | Alaska Physicians Eyecare Group, P.C. | Optometrist | 8300 Homer Dr, Anchorage, AK 99518-3310 | 2018-11-30 |
| 1952828931 | Better Sight LLC | Optometrist | 2260 Tasha Dr, Anchorage, AK 99502-5467 | 2017-08-29 |
| 1518495191 | Tessa Delaney | Optometrist | 1600 A St Ste 200, Anchorage, AK 99501-5147 | 2017-05-26 |
| 1871952648 | Daniel & Max, LLC | Optometrist | 8300 Homer Drive, Anchorage, AK 99518 | 2016-02-22 |
| 1770908519 | Far North Eye Care, LLC | Optometrist | 1515 E Tudor Rd Ste 5, Anchorage, AK 99507-1036 | 2014-03-04 |
| 1629348842 | Precision Vision LLC | Optometrist | 8801 Old Seward Hwy, Anchorage, AK 99515-2021 | 2012-01-04 |
| 1285952549 | Eberle Eyecare P.C. | Optometrist | 10998 O'malley Centre Drive, Suite B, Anchorage, AK 99515 | 2010-05-12 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.