Cecil, Amy C.
Cecil, Amy C. is an individual health care provider with primary practice located at 100 Elk Run Dr Suite 206, Basalt CO 81621-9205. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Cecil, Amy C. can be contacted via phone (970) 927-5107.Contact Information
Primary practice address
100 Elk Run Dr Suite 206
Basalt CO 81621-9205
Phone: (970) 927-5107
Fax: (970) 927-5108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1261 | Colorado |
Profile Details
| NPI number | 1215925565 |
|---|---|
| LBN Legal business name | Cecil, Amy C. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 29th, 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 | 1215925565 | NPPES |
| Colorado | MEDICAID | 52027732 |
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