Provider Demographics
NPI:1639818263
Name:BELL, AMY ELIZABETH (OD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:BELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3890 CHARLEVOIX RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8423
Mailing Address - Country:US
Mailing Address - Phone:231-439-3937
Mailing Address - Fax:231-439-9058
Practice Address - Street 1:3890 CHARLEVOIX RD STE 270
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8423
Practice Address - Country:US
Practice Address - Phone:231-439-3937
Practice Address - Fax:231-439-9058
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2023-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4901005596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist