Devries, Amy Jennifer

Devries, Amy Jennifer is an individual health care provider with primary practice located at 2955 E Elk Lane , Fremont NE 68025-8814. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Devries, Amy Jennifer can be contacted via phone (402) 721-8032.

Contact Information

Primary practice address
2955 E Elk Lane Fremont NE 68025-8814
Phone: (402) 721-8032
Fax: (402) 721-2474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002428 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 1358 Nebraska

Profile Details

NPI number 1871757492
LBN Legal business name Devries, Amy Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2008
Last updated Dec 11th, 2020 - about 6 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 1871757492 NPPES
Nebraska MEDICAID 470676989-13

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