Individual
DR. AMANDA ELAINE JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S., FCOVD
Contact information
Practice address
643 OHIO ST, TERRE HAUTE, IN 47807-3525
(812) 232-1000
(812) 232-1007
Mailing address
643 OHIO ST, TERRE HAUTE, IN 47807-3525
(812) 232-1000
(812) 232-1007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200464780
—
IN
01
—
N3000881
HARMONY HEALTH PLAN
IN
01
—
OK2358
EYEMED
IN
Enumeration date
06/25/2006
Last updated
09/01/2020
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