Peot, Amy Marie

Peot, Amy Marie is an individual health care provider with primary practice located at 230 N Wisconsin St , De Pere WI 54115-2735. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Peot, Amy Marie can be contacted via phone (920) 336-3390.

Contact Information

Primary practice address
230 N Wisconsin St De Pere WI 54115-2735
Fax: (920) 336-2186
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2717-035 Wisconsin

Profile Details

NPI number 1093767931
LBN Legal business name Peot, Amy Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093767931 NPPES
Wisconsin MEDICAID 38603700

Popular Providers