Healthcare Provider Details

I. General information

NPI: 1922934793
Provider Name (Legal Business Name): ASHTON TROY SOLOAI OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 3RD ST
POWELL WY
82435-2321
US

IV. Provider business mailing address

255 W 3RD ST
POWELL WY
82435-2321
US

V. Phone/Fax

Practice location:
  • Phone: 307-754-7151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number478T
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: