Head, Amy Crissman
Head, Amy Crissman is an individual health care provider with primary practice located at 31815 Southfield Rd Ste 12 , Beverly Hills MI 48025-5471. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Head, Amy Crissman can be contacted via phone (248) 220-6438.Contact Information
Primary practice address
31815 Southfield Rd Ste 12
Beverly Hills MI 48025-5471
Phone: (248) 220-6438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 4901003852 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003852 | Michigan |
Profile Details
| NPI number | 1437204815 |
|---|---|
| LBN Legal business name | Head, Amy Crissman |
| Credentials | O.D., F.A.A.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437204815 | NPPES |
| Michigan | Other | 900F310020 | BCBS PROVIDER CODE |
| Michigan | Other | 383145055 | BCBS PROVIDER CODE |
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