Provider Demographics
NPI:1164501714
Name:VIERLING, DENNIS ASHLEY (OD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ASHLEY
Last Name:VIERLING
Suffix:
Gender:M
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 1506
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-1506
Mailing Address - Country:US
Mailing Address - Phone:972-771-2020
Mailing Address - Fax:972-772-0967
Practice Address - Street 1:2306 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087
Practice Address - Country:US
Practice Address - Phone:972-771-2020
Practice Address - Fax:972-772-0967
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2333TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T16411Medicare UPIN