Individual
AMY F. WAYMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
(901) 728-5858
Mailing address
650 NEW YORK ST, MEMPHIS, TN 38104-5536
(901) 728-5858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2843
TN
152W00000X
Optometrist
759
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097007900NH01
ANTHEM
NH
05
—
30353362
—
NH
01
—
4346694
CIGNA
NH
Enumeration date
07/20/2005
Last updated
09/09/2013
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