Provider Demographics
NPI:1740769736
Name:VYAS, ASHA S (OD)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:S
Last Name:VYAS
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 1:50 MASSACHUSETTS AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4214
Mailing Address - Country:US
Mailing Address - Phone:202-827-6143
Mailing Address - Fax:
Practice Address - Street 1:50 MASSACHUSETTS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4214
Practice Address - Country:US
Practice Address - Phone:202-827-6143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000387152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist