Individual
DR. AMANDA BRANDNER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
28322 LEWES GEORGETOWN HWY, MILTON, DE 19968-3117
(302) 684-2020
(302) 684-2021
Mailing address
PO BOX 58, NASSAU, DE 19969-0058
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001341
DE
152WV0400X
Vision Therapy Optometrist
13-0001341
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12078052
CAQH
—
01
—
13-0001341
PROFESSIONAL LICENSE
DE
Enumeration date
12/08/2009
Last updated
01/27/2021
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