Individual provider Active NPI

Ashleigh Rushlau Dively, OD

  • Optometrist
  • Meriden, CT
National Provider Identifier
1144110065
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003403 Issued in CT
Practice address
512 W Main St
Meriden, CT 06451-2758
Phone
(203) 235-2015
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3.003403 CT Primary

Addresses

Primary practice location

512 W Main St
Meriden, CT 06451-2758

Mailing address

733 Wells Rd
Wethersfield, CT 06109-2530

Other names 1

  • Ashleigh Marie Rushlau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009003368 CT Practitioner - Optometry 3476050972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plainville Optometrics LLCGroup PAC ID 8921247792, 2 clinicians
B.E.K Eyecare, IncGroup PAC ID 3476671694, 2 clinicians

Practice addresses (Care Compare)

28 E St
Plainville, CT 06062-2309
Phone (860) 793-9378

512 W Main St
Meriden, CT 06451-2758
Phone (203) 235-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3.003403CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.K Eyecare, Inc Optometrist CurrentSince Aug 7, 2025 Accepting new patients
Plainville Optometrics LLC Optometrist CurrentSince Dec 18, 2025 Accepting new patients
Plainville Optical PastSince Dec 18, 2025 Accepting new patients

Locations

512 W Main St
Meriden, CT 06451
Phone (203) 235-2015

28 East St
Plainville, CT 06062
Phone (860) 793-9378

28 East St
#10
Plainville, CT 06062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1144110065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 WELLS RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512758",
            "telephone_number": "203-235-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELY",
        "first_name": "ASHLEIGH",
        "middle_name": "RUSHLAU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "RUSHLAU",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.