Provider Demographics
NPI:1023202074
Name:WILLIAM C ASHFORD M.D.
Entity Type:Organization
Organization Name:WILLIAM C ASHFORD M.D.
Other - Org Name:ASHFORD EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-985-9120
Mailing Address - Street 1:501 BAPTIST DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-2030
Mailing Address - Country:US
Mailing Address - Phone:601-985-9120
Mailing Address - Fax:601-985-9122
Practice Address - Street 1:501 BAPTIST DR
Practice Address - Street 2:SUITE 220
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-2030
Practice Address - Country:US
Practice Address - Phone:601-985-9120
Practice Address - Fax:601-985-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07279207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC03388OtherMEDICARE GROUP NUMBER
MS00017578Medicaid
MSB66012Medicare UPIN