Calder, Amy Jo
Calder, Amy Jo is an individual health care provider with primary practice located at 1142 W Redondo Beach Blvd , Gardena CA 90247-3538. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Calder, Amy Jo can be contacted via phone (310) 323-5095.Contact Information
Primary practice address
1142 W Redondo Beach Blvd
Gardena CA 90247-3538
Phone: (310) 323-5095
Fax: (310) 323-6046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12370T | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5870563-9934 | Utah |
Profile Details
| NPI number | 1720052392 |
|---|---|
| LBN Legal business name | Calder, Amy Jo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | May 21st, 2008 - about 16 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 | 1720052392 | NPPES |
| California | MEDICAID | SD0012370 |
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