Individual
AMY M FERNANDEZ
Active
Individual
AMY M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391034
ANTHEM
OH
05
—
2332667
—
OH
Enumeration date
05/13/2006
Last updated
10/02/2008
Update your record
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