Healthcare Provider Details

I. General information

NPI: 1851742738
Provider Name (Legal Business Name): ASHLEY ANN ALDEN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4641 SW WYOMING BLVD
CASPER WY
82601-6702
US

IV. Provider business mailing address

4641 SW WYOMING BLVD
CASPER WY
82601-6702
US

V. Phone/Fax

Practice location:
  • Phone: 307-472-2020
  • Fax: 307-237-2020
Mailing address:
  • Phone: 307-752-3184
  • Fax: 307-237-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number431T
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: