Individual
DR. ASHLEY A. THILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 165/166, SPRINGFIELD, MO 65807-7304
(417) 820-9393
(417) 841-0181
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013013533
MO
152W00000X
Optometrist
2755
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811259518
—
MO
Enumeration date
06/09/2012
Last updated
02/11/2015
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