Ashley Lorraine Colvin

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003090 Issued in GA

Practice address

4495 Atlanta Hwy Ste 300
Loganville, GA 30052-6731

Phone

(770) 554-3456

NPI assigned

Jul 10, 2018

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Brian Dempsey OD LLC

  • Optometrist
  • Loganville, GA
  • NPI 1487265898
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1831685106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 ATLANTA HWY STE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526731",
            "telephone_number": "770-554-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ATLANTA HWY STE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526731",
            "telephone_number": "770-554-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "ASHLEY",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPT003090",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carman Suzanne Clark, PSYCHOLOGIST, LPC
• Charli Hicks Clements
• Laura Coffee, MA SLP
• Lola Colbert, DDS
• Gabrielle Kenitha Collins
• Comfort Way Home Care, LLC
• Communication Hut, Inc.
• Compass Physical Therapy
• Chesney Conant
• Confiance Healthcare

• Optometrist in Loganville, GA
• Providers in Loganville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.