Judson, Amanda Elaine

Judson, Amanda Elaine is an individual health care provider with primary practice located at 643 Ohio St , Terre Haute IN 47807-3525. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Judson, Amanda Elaine can be contacted via phone (812) 232-1000.

Contact Information

Primary practice address
643 Ohio St Terre Haute IN 47807-3525
Phone: (812) 232-1000
Fax: (812) 232-1007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003213A Indiana

Profile Details

NPI number 1255367686
LBN Legal business name Judson, Amanda Elaine
Credentials O.D., M.S., FCOVD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Sep 1st, 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 1255367686 NPPES
Indiana Other OK2358 EYEMED
Indiana MEDICAID 200464780 EYEMED
Indiana Other N3000881 EYEMED

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