Individual
MILES DAVID ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1808 MISSION 66, VICKSBURG, MS 39180-3710
(601) 636-6364
(601) 636-1162
Mailing address
1808 MISSION 66, VICKSBURG, MS 39180-3710
(601) 636-6364
(601) 636-1162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
878
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09001077
—
MS
01
—
878
MS STATE LICENSE
MS
Enumeration date
07/23/2013
Last updated
04/03/2014
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