Provider Demographics
NPI:1710212378
Name:FISCHER, ASHLEE E (OD)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:E
Last Name:FISCHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:E
Other - Last Name:MILLS-FISCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:609 4J CT
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4135
Mailing Address - Country:US
Mailing Address - Phone:307-682-2020
Mailing Address - Fax:307-682-5656
Practice Address - Street 1:609 4J CT
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4135
Practice Address - Country:US
Practice Address - Phone:307-682-2020
Practice Address - Fax:307-682-5656
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY334T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist