Provider Demographics
NPI:1457232092
Name:SIMMS, ASHLEY MARIE (OPTICIAN)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:MARIE
Last Name:SIMMS
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MARS HILL DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3104
Mailing Address - Country:US
Mailing Address - Phone:937-436-3472
Mailing Address - Fax:
Practice Address - Street 1:8800 KINGSRIDGE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1616
Practice Address - Country:US
Practice Address - Phone:937-436-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.017857-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician