Provider Demographics
NPI:1073954731
Name:SHULER, ASHLEY M (OD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:SHULER
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:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-0419
Mailing Address - Country:US
Mailing Address - Phone:731-968-2020
Mailing Address - Fax:731-968-2866
Practice Address - Street 1:107 LEXINGTON PLZ
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-1505
Practice Address - Country:US
Practice Address - Phone:731-968-2020
Practice Address - Fax:731-968-2866
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT3123152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist