Wiederoder, Amanda

Wiederoder, Amanda is an individual health care provider with primary practice located at 39 Green St , Newburyport MA 01950-2652. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Wiederoder, Amanda can be contacted via phone (978) 465-8761.

Contact Information

Primary practice address
39 Green St Newburyport MA 01950-2652
Phone: (978) 465-8761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5359 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720547961
LBN Legal business name Wiederoder, Amanda
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated Aug 7th, 2019 - about 5 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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