Provider Demographics
NPI:1184942203
Name:WESTON, ASHLEY (DO)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:WESTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BLUE RAVINE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3834
Mailing Address - Country:US
Mailing Address - Phone:916-983-9985
Mailing Address - Fax:916-983-9950
Practice Address - Street 1:404 BLUE RAVINE RD STE 400
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3834
Practice Address - Country:US
Practice Address - Phone:916-983-9985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASL6212156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician