Individual provider Active NPI

Ashley C Royce, O.D.

  • Optometrist
  • Port Orange, FL
National Provider Identifier
1437336856
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4584 Issued in FL
Practice address
3641 S. Clyde Morris Blvd
Suite 500
Port Orange, FL 32129
Phone
(386) 788-6198
Fax
(386) 788-4616
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3248 OR
Optometrist 152W00000X OPC4584 FL Primary

Addresses

Primary practice location

3641 S. Clyde Morris Blvd
Suite 500
Port Orange, FL 32129

Mailing address

3641 S. Clyde Morris Blvd
Suite 500
Port Orange, FL 32129
Phone (386) 788-6198

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
I20140324000383 FL Practitioner - Optometry 8224197660 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Dec 21, 2021 Accepting new patients
Family Vision Center, Inc Optometrist PastSince Nov 12, 2018 Accepting new patients
Premier Eye Clinic Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

14021 Lunar Dr
Unit 1
Jacksonville, FL 32218
Phone (904) 351-0057

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

Organizations & group practices 6

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1437336856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 S. CLYDE MORRIS BLVD",
            "address_2": "SUITE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 S. CLYDE MORRIS BLVD",
            "address_2": "SUITE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCE",
        "first_name": "ASHLEY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3248",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.