Mataya Pietig, Amanda J
Mataya Pietig, Amanda J is an sole proprietor health care provider with primary practice located at 311 N Ankeny Blvd , Ankeny IA 50023-1711. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mataya Pietig, Amanda J can be contacted via phone (515) 964-1671.Contact Information
Primary practice address
311 N Ankeny Blvd
Ankeny IA 50023-1711
Phone: (515) 964-1671
Fax: (515) 964-1714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002401 | Iowa |
Profile Details
| NPI number | 1295926228 |
|---|---|
| LBN Legal business name | Mataya Pietig, Amanda J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1295926228 | NPPES |
| Iowa | Other | 71726 | BLUE CROSS |
| Iowa | Other | 48179001 | BLUE CROSS |
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