Derek Wayne Ashby, OD Valid NPI

Individual provider · Optometrist · Canon City, CO

NPI

1700048329

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

OPT-2652 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2008-06-25

Last updated

2013-06-28