Provider Demographics
NPI:1386932374
Name:BUTLER, ASHLEY KRISTINE (OD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KRISTINE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 NORTH EL CAMINO REAL
Mailing Address - Street 2:SUITE C202
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:866-656-9221
Mailing Address - Fax:760-753-5150
Practice Address - Street 1:3637 VISTA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4522
Practice Address - Country:US
Practice Address - Phone:760-758-2008
Practice Address - Fax:760-758-2004
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT14205152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist