Amos, Michael Edward

Amos, Michael Edward is an sole proprietor health care provider with primary practice located at 8056 161St Ave Ne , Redmond WA 98052-3807. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Amos, Michael Edward can be contacted via phone (425) 882-0545.

Contact Information

Primary practice address
8056 161St Ave Ne Redmond WA 98052-3807
Fax: (425) 861-5635
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001322 Washington

Profile Details

NPI number 1114023876
LBN Legal business name Amos, Michael Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1114023876 NPPES
Washington MEDICAID 2053700

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