Individual
AMANDA LEE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-5690
(717) 531-5009
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2013-00380
NC
207W00000X
Ophthalmology Physician
MD451754
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD451754
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029771230001
—
PA
Enumeration date
05/22/2009
Last updated
05/17/2023
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