Provider Demographics
NPI:1962426296
Name:HAMILTON, ASHLEY STOOKSBURY (OD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:STOOKSBURY
Last Name:HAMILTON
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 1:1503 FIREWOOD LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6057
Mailing Address - Country:US
Mailing Address - Phone:865-300-6165
Mailing Address - Fax:865-909-7169
Practice Address - Street 1:4620 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-584-7739
Practice Address - Fax:865-909-7169
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPOP307152W00000X
TNOD2461152W00000X
MDTA2713152W00000X
PAOEP008587152W00000X
NY009042152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4070743OtherBLUE CROSS
TN3942648Medicare PIN
TN3945874Medicare PIN
TN4070743OtherBLUE CROSS
TN3896230001Medicare NSC
TNP00305847Medicare PIN