Individual
AMANDA LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 907-2790
(989) 399-8263
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4810199
—
MI
01
—
4901004318
LICENSE #
MI
Enumeration date
07/30/2006
Last updated
04/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us