Madurski, Amanda Lee

Madurski, Amanda Lee is an individual health care provider with primary practice located at 4000 Sterrettania Rd Lowr Lvl , Erie PA 16506-4125. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Madurski, Amanda Lee can be contacted via phone (814) 836-0543.

Contact Information

Primary practice address
4000 Sterrettania Rd Lowr Lvl Erie PA 16506-4125
Phone: (814) 836-0543
Fax: (814) 838-1145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001930 Pennsylvania

Profile Details

NPI number 1609069814
LBN Legal business name Madurski, Amanda Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated May 24th, 2023 - 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 1609069814 NPPES
Pennsylvania MEDICAID 1022032200003
Pennsylvania MEDICAID 1022032200005
Pennsylvania MEDICAID 1022032200004

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