Provider Demographics
NPI:1356055172
Name:STARLING, CASSIDY ASHTON (OD)
Entity type:Individual
Prefix:DR
First Name:CASSIDY
Middle Name:ASHTON
Last Name:STARLING
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 1:253 HIGHWAY 515 E BLDG C
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3697
Mailing Address - Country:US
Mailing Address - Phone:707-745-3900
Mailing Address - Fax:
Practice Address - Street 1:253 HIGHWAY 515 E BLDG C
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3697
Practice Address - Country:US
Practice Address - Phone:707-745-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003482152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist