Individual
DR. ANDREA LEIGH STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
116 MERIDIAN WAY, SUITE 3, RICHMOND, KY 40475-2876
(859) 353-4053
(859) 624-9667
Mailing address
524 SHEARWATER DR, RICHMOND, KY 40475-7524
(859) 263-7862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1525DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353349
ANTHEM BCBS
KY
01
—
35638
AVESIS
KY
01
—
41889
SPECTERA
KY
01
—
47976
DAVIS OR GUARDIAN VISION
KY
01
—
550702
NVA
KY
05
—
77000867
—
KY
Enumeration date
02/13/2007
Last updated
04/06/2010
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