Provider Demographics
NPI:1326033036
Name:SPRINGSTON, ASHLEY L (OD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:L
Last Name:SPRINGSTON
Suffix:
Gender:F
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 360
Mailing Address - Street 2:
Mailing Address - City:HUNTINGBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47542-0360
Mailing Address - Country:US
Mailing Address - Phone:812-683-4443
Mailing Address - Fax:812-683-5409
Practice Address - Street 1:303 13TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGBURG
Practice Address - State:IN
Practice Address - Zip Code:47542-9269
Practice Address - Country:US
Practice Address - Phone:812-683-4443
Practice Address - Fax:812-683-5409
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003073A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200326980Medicaid
7298447OtherAETNA
000000222627OtherANTHEM
474188OtherHEALTHLINK
KY77000578Medicaid
U84826Medicare UPIN
IN200326980Medicaid
000000222627OtherANTHEM