DR. DEREK WAYNE ASHBY (NPI# 1700048329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700048329 |
| Entity Type | Individual |
| Full Name | DR. DEREK WAYNE ASHBY |
| Credential | OD |
| Practice Address |
326 Dozier Ave Canon City CO 81212-2706 |
| Practice Telephone | 7192760344 |
| Practice Fax Number | 7192697446 |
| Mailing Telephone | 7192760344 |
| Mailing Fax Number | 7192697446 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT-2652 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1376983924 | 01 | |
| OFFICE GROUP NPI | 1679525208 | 01 | |
| CO | 87751747 | 05 | |
| RAILROAD MEDICARE | P00827172 | 01 |
| Street Address |
326 DOZIER AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679525208 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 326 Dozier Ave, Canon City, CO 81212-2706 | 2006-05-16 |
| 1972555001 | Marcelo Adrian Saldivia | Optometrist | 326 Dozier Ave, Canon City, CO 81212-2706 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699727032 | James Clyde Bosse | Optometrist | 2776 E Main St, Canon City, CO 81212-4010 | 2006-05-16 |
| 1679525208 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 326 Dozier Ave, Canon City, CO 81212-2706 | 2006-05-16 |
| 1235105552 | Sean R Claflin | Optometrist | 1924 Franklin Ave, Canon City, CO 81212-2411 | 2006-02-27 |
| 1588004642 | Philip L Hwang | Optometrist | 2776 E Main St, Canon City, CO 81212-4010 | 2013-07-02 |
| 1154600195 | Claflin Eye Care | Optometrist | 1924 Franklin Ave, Canon City, CO 81212-2411 | 2011-08-09 |
| 1134436728 | Blair Vision Care, LLC | Optometrist | 700 Main St, Canon City, CO 81212 | 2010-09-03 |
| 1871807321 | Nicholas Blair | Optometrist | 700 Main St, Canon City, CO 81212-3739 | 2010-07-27 |
| 1326159492 | Peak Vision Canon City Prof, LLC | Optometrist | 2776 E Main St, Canon City, CO 81212-4010 | 2006-08-31 |
| 1033163472 | Yvonne J Morrisey | Optometrist | 1145 Ohio Ave, Canon City, CO 81212-2278 | 2006-05-20 |
| 1972555001 | Marcelo Adrian Saldivia | Optometrist | 326 Dozier Ave, Canon City, CO 81212-2706 | 2006-05-17 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.