Provider Demographics
NPI:1952718926
Name:TORREANO, ASHLEY ANN (OD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANN
Last Name:TORREANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:GEZELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:919 W KENNEDY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:KIMBERLY
Mailing Address - State:WI
Mailing Address - Zip Code:54136-2205
Mailing Address - Country:US
Mailing Address - Phone:920-733-0919
Mailing Address - Fax:920-733-0912
Practice Address - Street 1:919 W KENNEDY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:KIMBERLY
Practice Address - State:WI
Practice Address - Zip Code:54136-2205
Practice Address - Country:US
Practice Address - Phone:920-733-0919
Practice Address - Fax:920-733-0912
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3348-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist