Provider Demographics
NPI:1104203462
Name:ASHLY WEISSFIELD PA
Entity Type:Organization
Organization Name:ASHLY WEISSFIELD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:561-346-2148
Mailing Address - Street 1:18809 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2817
Mailing Address - Country:US
Mailing Address - Phone:305-792-4303
Mailing Address - Fax:305-792-5803
Practice Address - Street 1:18809 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2817
Practice Address - Country:US
Practice Address - Phone:305-792-4303
Practice Address - Fax:305-792-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL3527152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty