Derek Wayne Ashby, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-2652 Issued in CO

Practice address

326 Dozier Ave
Canon City, CO 81212-2706

Phone

(719) 276-0344

Fax

(719) 269-7446

NPI assigned

Jun 25, 2008

Last updated

Jun 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Colorado Eye Care Associates PCGroup PAC ID 7214055672, 4 clinicians

Bright Eyes Vision Clinic PC a Colorado Professional CorporationGroup PAC ID 7113813106, 10 clinicians

Southern Colorado Eye CareGroup PAC ID 9739314618, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  • Optometrist
  • Canon City, CO
  • NPI 1679525208
  Medicare reassignment Care Compare group NPD
• Southern Colorado Eye Care

  • Optometrist
  • Pueblo West, CO
  • NPI 1376983924
  Medicare reassignment Care Compare group
• Southern Colorado Eye Care Associates PC

  • Optometrist
  • Pueblo, CO
  • NPI 1679744841
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1700048329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 DOZIER AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122706",
            "telephone_number": "719-276-0344",
            "fax_number": "719-269-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 DOZIER AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122706",
            "telephone_number": "719-276-0344",
            "fax_number": "719-269-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "DEREK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT-2652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00827172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE GROUP NPI",
            "identifier": "1679525208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376983924",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87751747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony M Sullivan Psychological Services LLC
• Sherry Archibeque
• Argus Home Care Inc (Argus Home Care Canon City)
• Arkansas Valley Surgery Center
• M. Jean Armour, LPC, BSN, CACIII
• Joe J Ashton, DC
• Aspen and Ivy Counseling
• Associates in Maxillofacial and Oral Surgery, PLLC
• Asthma & Allergy Associates, PC
• Cody John Atkinson

• Optometrist in Canon City, CO
• Providers in Canon City, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.