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NPI Code Detail

MEDICARE: ASHLEY STOOKSBURY HAMILTON OD

MEDICARE: ASHLEY STOOKSBURY HAMILTON OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTPOP307FL
2152W00000XOptometristOD2461TN
3152W00000XOptometristTA2713MD
4152W00000XOptometristOEP008587PA
5152W00000XOptometrist009042NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14070743OTHERTNBLUE CROSS

General Provider Information

NPI Number : 1962426296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY STOOKSBURY HAMILTON OD
Provider Business Mailing Address
First Line : 1503 FIREWOOD LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-6057
Country : US
Telephone Number : 865-300-6165
Fax Number : 865-909-7169
Provider Business Practice Location Address
First Line : 4620 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919
Country : US
Telephone Number : 865-584-7739
Fax Number : 865-909-7169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 10/27/2025

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Directions to “ ASHLEY STOOKSBURY HAMILTON OD” Practice Location

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