Individual
DR. AMY CELINO BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1844 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3112
(985) 626-8103
(985) 626-5571
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8889
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1576-609T
LA
Other
Enumeration date
08/11/2009
Last updated
09/28/2021
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