Physician Compare National (NPI:1427443225)

HEALTHCARE PROVIDER: ASHLEY MICHELLE STOWE O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427443225
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103195904
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170711001990
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STOWE
	Individual professional last name
Provider First Name	ASHLEY
	Individual professional first name
Provider Middle Name	MICHELLE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VAL-U-VISION OF NASSAU COUNTY INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446243877
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	542067 US HWY 1
	Group Practice or individual's line 1 address
City	CALLAHAN
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	320118110
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9048792020
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y