Individual
AMY LYNNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5311 COLDWATER RD, WAL-MART VISION CENTER, FORT WAYNE, IN 46825-5444
(260) 407-4150
Mailing address
11511 GREEN HOLLY CV, FORT WAYNE, IN 46845-2018
(260) 490-4201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002898B
IN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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