Provider Demographics
NPI:1285011270
Name:NIEWIAROWSKI, ASHLEY MARIE COCHRANE (OD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MARIE COCHRANE
Last Name:NIEWIAROWSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2895 TREEHOUSE PASS
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-5605
Mailing Address - Country:US
Mailing Address - Phone:509-939-1350
Mailing Address - Fax:
Practice Address - Street 1:1251 US HIGHWAY 31 N
Practice Address - Street 2:JCPENNY OPTICAL
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-4503
Practice Address - Country:US
Practice Address - Phone:317-888-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003763A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist