Kimble, Ashley Zak

Kimble, Ashley Zak is an individual health care provider with primary practice located at 15508 W Colonial Dr Ste 102 , Winter Garden FL 34787-9557. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Kimble, Ashley Zak can be contacted via phone (407) 798-8880.

Contact Information

Primary practice address
15508 W Colonial Dr Ste 102 Winter Garden FL 34787-9557
Fax: (407) 798-8810
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC 4399 Florida
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPC 4399 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 4399 Florida

Profile Details

NPI number 1952566721
LBN Legal business name Kimble, Ashley Zak
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Feb 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952566721 NPPES
Florida MEDICAID 000236600

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