Individual
DR. ASHLEY MARIE OUTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2669
NC
152W00000X
Optometrist
OPC5672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPC5762
—
FL
Enumeration date
06/04/2019
Last updated
11/04/2021
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