Individual
DR. AMY JEANINE DAIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
317 EAST PARKWAY DR, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Mailing address
317 EAST PARKWAY DR, RUSSELLVILLE, AR 72801-3915
(479) 967-6113
(479) 968-6932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2402
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15062000041
QUAL CHOICE
—
01
—
48605
BCBS
—
01
—
5291236
AETNA
—
01
—
A002
TRICAE
—
01
—
AR0017505
HUMANA
—
01
—
AR2402
EYEMED
—
Enumeration date
01/12/2007
Last updated
07/08/2007
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