Sanderson, Amy
Sanderson, Amy is an sole proprietor health care provider with primary practice located at 102 Intercom Drive , Madison AL 35758-2638. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sanderson, Amy can be contacted via phone (256) 772-2929.Contact Information
Primary practice address
102 Intercom Drive
Madison AL 35758-2638
Phone: (256) 772-2929
Fax: (256) 772-2928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-997-TA-564 | Alabama |
Profile Details
| NPI number | 1669477824 |
|---|---|
| LBN Legal business name | Sanderson, Amy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 7th, 2012 - about 13 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 | 1669477824 | NPPES |
| Other | 102G700010 | PTAN FOR ADVANCED EYECARE OF MADISON | |
| Other | 102G700010 | PTAN FOR ADVANCED EYECARE OF MADISON |
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