Individual provider Active NPI

Randy W Ash, O.D.

  • Optometrist
  • Durango, CO
National Provider Identifier
1669533238
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1424 Issued in CO
Practice address
765 E College Dr
Suite #1
Durango, CO 81301-5547
Phone
(970) 385-4599
Fax
(970) 385-5254
NPI assigned
Dec 13, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1424 CO Primary
Corneal and Contact Management Optometrist 152WC0802X 1424 CO
Pediatric Optometrist 152WP0200X 1424 CO

Addresses

Primary practice location

765 E College Dr
Suite #1
Durango, CO 81301-5547

Mailing address

765 E College Dr
Suite #1
Durango, CO 81301-5547
Phone (970) 385-4599

Other identifiers 1

IdentifierTypeStateIssuer
08014243MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1424COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1669533238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 E COLLEGE DR",
            "address_2": "SUITE #1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015547",
            "telephone_number": "970-385-4599",
            "fax_number": "970-385-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E COLLEGE DR",
            "address_2": "SUITE #1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015547",
            "telephone_number": "970-385-4599",
            "fax_number": "970-385-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "RANDY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1424",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1424",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "1424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08014243",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.