Individual provider Active NPI

Ashley Rae Shields, O.D.

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1245585694
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6142 Issued in OH
Practice address
2315 Maple Avenue
Zanesville, OH 43701
Phone
(740) 453-1611
Fax
(740) 450-7680
NPI assigned
Jul 20, 2012
Last updated
May 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6142 OH Primary

Addresses

Primary practice location

2315 Maple Avenue
Zanesville, OH 43701

Mailing address

2315 Maple Avenue
Zanesville, OH 43701-2028
Phone (740) 453-1611

Other practice location 1

71 E Main St
McConnelsville, OH 43756-1180
Phone (740) 962-4281

Other identifiers 1

IdentifierTypeStateIssuer
1053390401OtherOHMEDICARE GROUP NPI

Other names 1

  • Dr. Ashley Rae Lynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20121217000432 OH Practitioner - Optometry 0345492450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Trillium Vision Care of Zanesville LLCGroup PAC ID 0345604161, 6 clinicians

Practice addresses (Care Compare)

1180 Military Rd
Zanesville, OH 43701-1345
Phone (740) 454-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6142OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Vision Care of Zanesville LLC Optometrist CurrentSince Apr 4, 2023 Accepting new patients
Zanesville Vision Care LLC CurrentSince Dec 15, 2015 Accepting new patients
Zanesville Vision Care LLC Optometrist CurrentSince Dec 15, 2015 Accepting new patients
Ronald W Downing OD Optometrist Past Accepting new patients

Locations

135 S Kennebec Ave
McConnelsvle, OH 43756
Phone (740) 962-4456

71 E Main St
McConnelsvle, OH 43756
Phone (740) 962-4281

1180 Military Rd
Zanesville, OH 43701
Phone (740) 454-6283

1805 Maple Ave
Zanesville, OH 43701
Phone (740) 453-1611

2315 Maple Ave
Zanesville, OH 43701
Phone (740) 453-1611

4051 Northpointe Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 454-6283

Organizations & group practices 4

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1245585694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVENUE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012028",
            "telephone_number": "740-453-1611",
            "fax_number": "740-450-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVENUE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-453-1611",
            "fax_number": "740-450-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 E Main St",
            "address_purpose": "LOCATION",
            "city": "McConnelsville",
            "state": "OH",
            "postal_code": "437561180",
            "country_code": "US",
            "telephone_number": "740-962-4281",
            "fax_number": "740-962-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ASHLEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1053390401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LYNN",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.