Cruth, Amy L

Cruth, Amy L is an individual health care provider with primary practice located at 5713 82Nd St , Lubbock TX 79424-2633. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cruth, Amy L can be contacted via phone (806) 798-8820.

Contact Information

Primary practice address
5713 82Nd St Lubbock TX 79424-2633
Fax: (806) 798-9754
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 06192TG Texas

Profile Details

NPI number 1124086970
LBN Legal business name Cruth, Amy L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jan 22nd, 2008 - about 17 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 1124086970 NPPES
Texas Other 80914Q BCBSTX

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