Individual
DR. AMANDA ALVES KHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1601 E CHAPMAN AVE, FULLERTON, CA 92831-4015
(145) 265-5515
(714) 526-5384
Mailing address
1601 E CHAPMAN AVE, FULLERTON, CA 92831-4015
(145) 265-5515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15219
CA
152WC0802X
Corneal and Contact Management Optometrist
15219
CA
152WL0500X
Low Vision Rehabilitation Optometrist
15219
CA
Other
Enumeration date
06/03/2015
Last updated
07/17/2019
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