Provider Demographics
NPI:1144110065
Name:DIVELY, ASHLEIGH RUSHLAU (OD)
Entity type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:RUSHLAU
Last Name:DIVELY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:MARIE
Other - Last Name:RUSHLAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:733 WELLS RD
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-2530
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:512 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2758
Practice Address - Country:US
Practice Address - Phone:203-235-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3.003403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist