Provider Demographics
NPI:1407197338
Name:BUTT, AYESHA RASHED (OD)
Entity Type:Individual
Prefix:DR
First Name:AYESHA
Middle Name:RASHED
Last Name:BUTT
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 1:5774 FM 1960 WEST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4204
Mailing Address - Country:US
Mailing Address - Phone:281-440-5887
Mailing Address - Fax:281-440-0368
Practice Address - Street 1:5774 FM 1960 WEST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4204
Practice Address - Country:US
Practice Address - Phone:281-440-5887
Practice Address - Fax:281-440-0368
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7966T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist