Individual
COURTNEY AMANDA DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7500 CHALLIS RD, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004281
MI
152W00000X
Optometrist
5381
OH
152WP0200X
Pediatric Optometrist
5381 T2292
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2428813
—
OH
05
—
4878355
—
MI
Enumeration date
06/17/2006
Last updated
09/24/2025
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