Active NPI
Randy W Ash, O.D.
- Optometrist
- Durango, CO
National Provider Identifier
1669533238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1424
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08014243 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1424 | CO | MD | Professional 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.