Provider Demographics
NPI:1437336856
Name:ROYCE, ASHLEY C (OD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:C
Last Name:ROYCE
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 1:3641 S. CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129
Mailing Address - Country:US
Mailing Address - Phone:386-788-6198
Mailing Address - Fax:386-788-4616
Practice Address - Street 1:3641 S. CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129
Practice Address - Country:US
Practice Address - Phone:386-788-6198
Practice Address - Fax:386-788-4616
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3248152W00000X
FLOPC4584152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist