Provider Demographics
NPI:1801977095
Name:OUSLEY, BRUCE ASHLEY (OD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ASHLEY
Last Name:OUSLEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2430 FM 407
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077
Mailing Address - Country:US
Mailing Address - Phone:972-317-3937
Mailing Address - Fax:972-317-2320
Practice Address - Street 1:2430 FM 407
Practice Address - Street 2:SUITE A
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077
Practice Address - Country:US
Practice Address - Phone:972-317-3937
Practice Address - Fax:972-317-2320
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3080T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5814Medicare PIN
T15132Medicare UPIN