Organization Active NPI

William Samuel Ashley, O.D.

  • Optometrist
  • Tallulah, LA
National Provider Identifier
1902970973
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
855-135 T Issued in LA
Legal business name
WILLIAM SAMUEL ASHLEY, O.D.
Practice address
1010 Johnson St
Tallulah, LA 71282-5216
Phone
(318) 574-2369
Fax
(318) 574-1111
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. William Samuel Ashley, O.D.
Title
Owner
Phone
(318) 574-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 855-135 T LA Primary

Addresses

Primary practice location

1010 Johnson St
Tallulah, LA 71282-5216

Mailing address

1010 Johnson St
Tallulah, LA 71282-5216
Phone (318) 574-2369

Other identifiers 1

IdentifierTypeStateIssuer
1317446MedicaidLA

Other names 1

  • The Eye Clinic Other name

National Provider Directory

National Provider Directory

Locations

1010 Johnson St
Tallulah, LA 71282
Phone (318) 574-2369

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1902970973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825216",
            "telephone_number": "318-574-2369",
            "fax_number": "318-574-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825216",
            "telephone_number": "318-574-2369",
            "fax_number": "318-574-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SAMUEL ASHLEY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-574-2369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "855-135 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.