Individual
ASHLEY L COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11512 LAKE MEAD AVE, STE 534, JACKSONVILLE, FL 32256-9680
(904) 564-2020
(904) 518-3297
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190HJ
BCBS-FL
FL
01
—
FU684X
MEDICARE
FL
01
—
P01806374
RAILROAD MEDICARE
FL
Enumeration date
09/28/2011
Last updated
05/27/2022
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