Provider Demographics
NPI:1568610087
Name:ARIA, AMBER (OD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:ARIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 HEARTLAND DR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2740
Mailing Address - Country:US
Mailing Address - Phone:319-545-3215
Mailing Address - Fax:319-545-3214
Practice Address - Street 1:2900 HEARTLAND DR
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2740
Practice Address - Country:US
Practice Address - Phone:319-545-3215
Practice Address - Fax:319-545-3214
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4292152W00000X
MDTA2878152W00000X
SC2291152W00000X
WAOD61211822152W00000X
IA002424152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist