Individual
AMY MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 221-0019
Mailing address
2015 N MAIN ST, WHEATON, IL 60187-3190
(630) 668-8250
(630) 221-0019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011942
IL
152W00000X
Optometrist
10610TG
TX
Other
Enumeration date
06/10/2022
Last updated
02/27/2025
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