Individual
DR. AMY KRISTIN STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3216 STATE ROUTE 257, DUAWL PROFESSIONAL PLAZA #7, SENECA, PA 16346-0208
(814) 677-2685
(814) 677-2686
Mailing address
PO BOX 208, SENECA, PA 16346-0208
(814) 677-2685
(814) 677-2686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG1355
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007698243 0003
—
PA
01
—
167600
LUXOTTICA PROVIDER ID
PA
01
—
397485
NVA
PA
01
—
9176346
UPMC DORAL
PA
01
—
ST645829
BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/19/2007
Last updated
12/10/2007
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