Active NPI
Ashley Bascom, OD
- Vision Therapy Optometrist
- Hamilton Square, NJ
National Provider Identifier
1104496702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 27OA00705600
- Practice address
- 1777 Kuser Rd
Hamilton Square, NJ 08690-3703 - Phone
- (609) 581-5755
- Fax
- (609) 581-7055
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 27OA00705600 | NJ | Primary |
Addresses
Primary practice location
1777 Kuser Rd
Hamilton Square, NJ 08690-3703
Mailing address
1777 Kuser Rd
Hamilton Square, NJ 08690-3703
Phone (609) 581-5755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2025 through Jan 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00705600 | NJ | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1104496702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 KUSER RD",
"city": "HAMILTON SQUARE",
"state": "NJ",
"postal_code": "086903703",
"telephone_number": "609-581-5755",
"fax_number": "609-581-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 KUSER RD",
"city": "HAMILTON SQUARE",
"state": "NJ",
"postal_code": "086903703",
"telephone_number": "609-581-5755",
"fax_number": "609-581-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASCOM",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "27OA00705600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton Square, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.