Provider Demographics
NPI:1497421754
Name:IRELAND, ASHLEY CANSU (OD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:CANSU
Last Name:IRELAND
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 1:1801 N UNIVERSITY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6078
Mailing Address - Country:US
Mailing Address - Phone:954-442-1133
Mailing Address - Fax:
Practice Address - Street 1:1801 N UNIVERSITY DR STE 102
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6078
Practice Address - Country:US
Practice Address - Phone:954-442-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA618003066152W00000X
FLOPFC100152W00000X
FLOPC6082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist