Bethel, Amie R

Bethel, Amie R is an individual health care provider with primary practice located at 16303 Yellow Sage St , Pflugerville TX 78660-3529. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bethel, Amie R can be contacted via phone (512) 251-4099.

Contact Information

Primary practice address
16303 Yellow Sage St Pflugerville TX 78660-3529
Fax: (512) 251-2941
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 05100TG Texas

Profile Details

NPI number 1275500035
LBN Legal business name Bethel, Amie R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 3rd, 2011 - about 13 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 1275500035 NPPES
Texas MEDICAID 1016917-01

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