Provider Demographics
NPI:1457434649
Name:ASCH, JILL MARLA (OD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARLA
Last Name:ASCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:419 WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1365
Mailing Address - Country:US
Mailing Address - Phone:410-356-0352
Mailing Address - Fax:
Practice Address - Street 1:7931 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4343
Practice Address - Country:US
Practice Address - Phone:410-768-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA 1050152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist