MEDICARE: WILLIAM L ASTON OD AND MELISSA A ASTON OD PC

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
1	152W00000X	Optometrist	06384TG	TX
2	152W00000X	Optometrist	06273TG	TX

General Provider Information

NPI Number	:	1558561605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM L ASTON OD AND MELISSA A ASTON OD PC

Provider Business Mailing Address
First Line	:	7201 BOAT CLUB RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-4555
Country	:	US
Telephone Number	:	817-750-2233
Fax Number	:	817-750-2266

Provider Business Practice Location Address
First Line	:	7201 BOAT CLUB RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-4555
Country	:	US
Telephone Number	:	817-750-2233
Fax Number	:	817-750-2266

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM L ASTON II
Credential	:	OD
Telephone Number	:	817-750-2233

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	02/25/2009

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