Provider Demographics
NPI:1306368048
Name:AKRIDGE, ASHTON V (OD)
Entity Type:Individual
Prefix:MISS
First Name:ASHTON
Middle Name:V
Last Name:AKRIDGE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:
Other - Last Name:MILNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:710 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-2385
Mailing Address - Country:US
Mailing Address - Phone:317-887-2800
Mailing Address - Fax:317-300-0078
Practice Address - Street 1:710 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-2385
Practice Address - Country:US
Practice Address - Phone:317-887-2800
Practice Address - Fax:317-887-2800
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004054A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist