Individual
DR. AMANDA PISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80909736
—
CO
01
—
OPT.0002655
CO OPTOMETRY LICENSE
CO
Enumeration date
10/28/2008
Last updated
06/29/2026
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