Provider Demographics
NPI:1851742738
Name:ALDEN, ASHLEY ANN (OD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:ALDEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5880 E 2ND ST
Mailing Address - Street 2:STE 100
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-4389
Mailing Address - Country:US
Mailing Address - Phone:307-752-3184
Mailing Address - Fax:307-237-2020
Practice Address - Street 1:5880 E 2ND ST
Practice Address - Street 2:STE 100
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4389
Practice Address - Country:US
Practice Address - Phone:307-472-2020
Practice Address - Fax:307-237-2020
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT33536TLG152W00000X
WY431T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist