Brown, Amanda Leigh
Brown, Amanda Leigh is an individual health care provider with primary practice located at 9525 Crosshill Blvd , Jacksonville FL 32222-5812. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Brown, Amanda Leigh can be contacted via phone (904) 573-9482.Contact Information
Primary practice address
9525 Crosshill Blvd
Jacksonville FL 32222-5812
Phone: (904) 573-9482
Fax: (904) 573-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4100 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC4100 | Florida |
Profile Details
| NPI number | 1508809559 |
|---|---|
| LBN Legal business name | Brown, Amanda Leigh |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508809559 | NPPES |
| Florida | MEDICAID | 621078300 |
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