Glass, Ambra T
Glass, Ambra T is an individual health care provider with primary practice located at 828 S Broad St , Scottsboro AL 35768-2508. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Glass, Ambra T can be contacted via phone (256) 259-4115.Contact Information
Primary practice address
828 S Broad St
Scottsboro AL 35768-2508
Phone: (256) 259-4115
Fax: (256) 259-3643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S413TA171 | Alabama |
Profile Details
| NPI number | 1902894686 |
|---|---|
| LBN Legal business name | Glass, Ambra T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | May 7th, 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 | 1902894686 | NPPES |
| Alabama | MEDICAID | 051513019 |
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