Individual
ASHLEY ELISE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
51 STATE RD, DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2204
Mailing address
51 STATE RD, DARTMOUTH, MA 02747-3319
(508) 994-1400
(508) 910-2212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101424A
—
MA
Enumeration date
07/29/2013
Last updated
09/21/2022
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