Individual provider Active NPI

Ashlynn Dennington, OD

  • Optometrist
  • Fair Oaks Ranch, TX
National Provider Identifier
1437702107
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9728T Issued in TX
Practice address
9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690
Phone
(210) 698-6393
Fax
(210) 698-9788
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9728T TX Primary

Addresses

Primary practice location

9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690

Mailing address

9091 Fair Oaks Pkwy Ste 307
Fair Oaks Ranch, TX 78015-4690
Phone (210) 698-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190927001753 TX Practitioner - Optometry 4486984887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dennington CollabGroup PAC ID 7416287800, 2 clinicians

Practice addresses (Care Compare)

9091 Fair Oaks Pkwy
Suite 306
Fair Oaks Ranch, TX 78015-4690
Phone (210) 698-6393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9728TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennington Collab Optometrist CurrentSince Sep 15, 2019 Accepting new patients
Dennington Collab Optometrist PastSince May 18, 2025 Accepting new patients
Eyecare of Texas PC Optometrist PastSince Jul 28, 2019 Accepting new patients

Locations

9091 Fair Oaks Pkwy
Ste 307
Fair Oaks Ranch, TX 78015
Phone (210) 698-6393

9091 Fair Oaks Pkwy
Ste 306
Fair Oaks Ranch, TX 78015
Phone (210) 698-6393

Interoperability endpoints

  • Direct secure messaging: ashlynn.dennington@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1437702107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY STE 307",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154690",
            "telephone_number": "210-698-6393",
            "fax_number": "210-698-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY STE 307",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154690",
            "telephone_number": "210-698-6393",
            "fax_number": "210-698-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNINGTON",
        "first_name": "ASHLYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9728T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

Verify at the official NPI Registry.