Individual provider Active NPI

Ashley Michelle Stowe, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1427443225
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5049 Issued in FL
Practice address
4216 Herschel St
Jacksonville, FL 32210-2208
Phone
(904) 479-2020
Fax
(904) 474-0477
NPI assigned
Mar 30, 2015
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5049 FL Primary

Addresses

Primary practice location

4216 Herschel St
Jacksonville, FL 32210-2208

Mailing address

4216 Herschel St
Jacksonville, FL 32210-2208
Phone (904) 479-2020

Other practice location 1

542069 US Highway 1
Callahan, FL 32011-8110
Phone (904) 879-2020

Other identifiers 1

IdentifierTypeStateIssuer
OPC 5049OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170711001990 FL Practitioner - Optometry 6103195904 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4216 Herschel St
Jacksonville, FL 32210-2208
Phone (904) 479-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.84 of 100Reported as group
Quality
85.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Val-U-Vision of Beauclerc-Mandarin Inc Optometrist CurrentSince May 1, 2017 Accepting new patients
Eyeq Optometry, PLLC Optometrist CurrentSince Feb 5, 2019 Accepting new patients
Russell Stackhouse MD PA CurrentSince Oct 1, 2020 Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

542069 US Highway 1
Callahan, FL 32011
Phone (904) 879-2020

6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741

4216 Herschel St
Jacksonville, FL 32210
Phone (904) 479-2020

9397 San Jose Blvd
Unit 2
Jacksonville, FL 32257
Phone (904) 730-2299

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

267 Broadway
Brooklyn, NY 11211

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Networks

  • Freedom Health HMO Network

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1427443225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102208",
            "telephone_number": "904-479-2020",
            "fax_number": "904-474-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102208",
            "telephone_number": "904-479-2020",
            "fax_number": "904-474-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542069 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Callahan",
            "state": "FL",
            "postal_code": "320118110",
            "country_code": "US",
            "telephone_number": "904-879-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOWE",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC 5049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.