Calder, Amy Jo

Calder, Amy Jo is an individual health care provider with primary practice located at 1142 W Redondo Beach Blvd , Gardena CA 90247-3538. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Calder, Amy Jo can be contacted via phone (310) 323-5095.

Contact Information

Primary practice address
1142 W Redondo Beach Blvd Gardena CA 90247-3538
Phone: (310) 323-5095
Fax: (310) 323-6046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12370T California
Eye and Vision Services Providers / Optometrist 152W00000X 5870563-9934 Utah

Profile Details

NPI number 1720052392
LBN Legal business name Calder, Amy Jo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 21st, 2008 - about 18 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 1720052392 NPPES
California MEDICAID SD0012370

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