Provider Demographics
NPI:1699921270
Name:BLASI, ASHLEY MAE (OD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MAE
Last Name:BLASI
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2635 W DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-2605
Mailing Address - Country:US
Mailing Address - Phone:316-942-7496
Mailing Address - Fax:316-942-9431
Practice Address - Street 1:2635 W DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213
Practice Address - Country:US
Practice Address - Phone:316-942-7496
Practice Address - Fax:316-942-9431
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1804152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist