Individual provider Active NPI

Ashleigh Marie Sprouse, OD

  • Optometrist
  • Roswell, GA
National Provider Identifier
1467060517
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003260 Issued in GA
Practice address
1190 Grimes Bridge Rd
Roswell, GA 30075-3930
Phone
(770) 992-7620
NPI assigned
Jul 15, 2020
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003260 GA Primary

Addresses

Primary practice location

1190 Grimes Bridge Rd
Roswell, GA 30075-3930

Mailing address

1190 Grimes Bridge Rd Ste E
Roswell, GA 30075-3955
Phone (770) 992-7620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashleigh@roswelleyeclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200820001123 GA Practitioner - Optometry 9537585559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Eye Clinic,IncGroup PAC ID 7214119114, 6 clinicians

Practice addresses (Care Compare)

1190 Grimes Bridge Rd
Roswell, GA 30075-3955
Phone (770) 992-7620

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003260GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Eye Clinic,Inc Optometrist CurrentSince Jun 22, 2020 Accepting new patients

Locations

1190 Grimes Bridge Rd
Roswell, GA 30075
Phone (770) 992-7620

1190 Grimes Bridge Rd
Ste E
Roswell, GA 30075

Interoperability endpoints

  • Direct secure messaging: ashleigh@roswelleyeclinic.com

Organizations & group practices 1

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1467060517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 GRIMES BRIDGE RD STE E",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753955",
            "telephone_number": "770-992-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 GRIMES BRIDGE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753930",
            "telephone_number": "770-992-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "ASHLEIGH",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashleigh@roswelleyeclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1190 Grimes Bridge Rd",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300753930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.