Healthcare Provider Details

I. General information

NPI: 1023677424
Provider Name (Legal Business Name): ASHLY CYRIAC OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 05/23/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W FARM TO MARKET 544
MURPHY TX
75094
US

IV. Provider business mailing address

601 W FARM TO MARKET 544
MURPHY TX
75094-4326
US

V. Phone/Fax

Practice location:
  • Phone: 972-578-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005386
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number10920
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number10920
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number10920
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number10920
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number10920
License Number StateTX
# 7
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10920
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: