Provider Demographics
NPI:1689673469
Name:FERRELL, JAMES ASHLEY (OD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ASHLEY
Last Name:FERRELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1411 WEATHERLY PLZ
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2617
Mailing Address - Country:US
Mailing Address - Phone:256-880-3200
Mailing Address - Fax:256-880-1396
Practice Address - Street 1:1411 WEATHERLY PLZ
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2617
Practice Address - Country:US
Practice Address - Phone:256-880-3200
Practice Address - Fax:256-880-1396
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS984TA557152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
631279209OtherVISION SERVICE PLAN
011075OtherNATIONAL VISION ADMIN.
23504OtherAVESIS
631279209OtherVISION CARE PLAN
631279209OtherMAIL HANDLERS BEN. PLAN
AL051550977Medicaid
631279209OtherCIGNA
7459289OtherAETNA
205219OtherCOLE MANAGED VISION
AL515-05724OtherBCBS
631279209OtherTRICARE
AL557OtherVISION BENEFITS OF AMER.
14781OtherSPECTERA
631279209OtherSOUTHLAND NAT. INS. CORP.
AL631279209OtherUNITED HEALTHCARE
011075OtherNATIONAL VISION ADMIN.
AL051550977Medicaid