Individual
DR. AMANDA JOY UMLANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1193 PLAZA DR, GRUNDY, VA 24614-6780
(276) 935-2292
(276) 935-2993
Mailing address
1193 PLAZA DR, GRUNDY, VA 24614-6780
(276) 935-2292
(276) 935-2993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002811
CT
152W00000X
Optometrist
Primary
0618002020
VA
152W00000X
Optometrist
201001750
MO
152W00000X
Optometrist
2627
OK
Other
Enumeration date
07/10/2009
Last updated
03/03/2020
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