Provider Demographics
NPI:1952036659
Name:ZARATE, ASHLIN STURBAUM (DOCTOR OF OPTOMETRY)
Entity Type:Individual
Prefix:DR
First Name:ASHLIN
Middle Name:STURBAUM
Last Name:ZARATE
Suffix:
Gender:F
Credentials:DOCTOR OF OPTOMETRY
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7517 S DANA ST
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-5125
Mailing Address - Country:US
Mailing Address - Phone:509-570-4092
Mailing Address - Fax:
Practice Address - Street 1:16010 E INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1813
Practice Address - Country:US
Practice Address - Phone:509-928-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD61300535152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist