Stott, Amanda J

Stott, Amanda J is an individual health care provider with primary practice located at 280 N Phelps Ave , Rockford IL 61108-2498. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stott, Amanda J can be contacted via phone (815) 986-1900.

Contact Information

Primary practice address
280 N Phelps Ave Rockford IL 61108-2498
Phone: (815) 986-1900
Fax: (815) 986-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009775 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 3024035 Wisconsin

Profile Details

NPI number 1881651511
LBN Legal business name Stott, Amanda J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 27th, 2007 - 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 1881651511 NPPES
Other WI9775 EYEMED VISION NO.

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