Provider Demographics
NPI:1538294848
Name:DUGAS, JAMES ASHLEY (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ASHLEY
Last Name:DUGAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-4008
Mailing Address - Country:US
Mailing Address - Phone:512-458-5400
Mailing Address - Fax:512-452-0015
Practice Address - Street 1:1000 W 39TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-4008
Practice Address - Country:US
Practice Address - Phone:512-458-5400
Practice Address - Fax:512-452-0015
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2441TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG05136679Medicaid
TXG05136679Medicaid
TXTXB107590Medicare PIN