Individual
AMANDA BELLEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 BELMONT ST, BELMONT, MA 02478-3607
(617) 484-1414
Mailing address
231 BELMONT ST, BELMONT, MA 02478-3607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5219
MA
152W00000X
Optometrist
—
MA
Other
Enumeration date
05/05/2017
Last updated
07/21/2022
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