Individual provider Active NPI

Ashley D Mowl, OD

  • Optometrist
  • Canonsburg, PA
National Provider Identifier
1467477265
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001894 Issued in PA
Practice address
950 South Central Ave
Suite 1
Canonsburg, PA 15317
Phone
(724) 745-2020
Fax
(724) 745-4888
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001894 PA Primary

Addresses

Primary practice location

950 South Central Ave
Suite 1
Canonsburg, PA 15317

Mailing address

950 South Central Ave
Suite 1
Canonsburg, PA 15317
Phone (724) 745-2020

Other identifiers 1

IdentifierTypeStateIssuer
1019644700002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070827000076 PA Practitioner - Optometry 3072513985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deconcilis Eye and Vision Center, PCGroup PAC ID 6507826351, 2 clinicians

Practice addresses (Care Compare)

950 S Central Ave
Suite 1
Canonsburg, PA 15317-1489
Phone (724) 745-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deconcilis Eye and Vision Center, PC Optometrist CurrentSince Jul 15, 2007 Accepting new patients
Indiana University Past Accepting new patients

Locations

950 S Central Ave
Ste 1
Canonsburg, PA 15317
Phone (724) 745-2020

950 S Central Ave
Canonsburg, PA 15317
Phone (724) 745-2020

Interoperability endpoints

  • Direct secure messaging: ashley@deconciliseye.eyefinity-direct.com

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1467477265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SOUTH CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "724-745-2020",
            "fax_number": "724-745-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SOUTH CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "724-745-2020",
            "fax_number": "724-745-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWL",
        "first_name": "ASHLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019644700002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.