Provider Demographics
NPI:1750836649
Name:BILUNAS, AMANDA (OD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:BILUNAS
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 1:5425 E BELL RD
Mailing Address - Street 2:STE 135
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6010
Mailing Address - Country:US
Mailing Address - Phone:602-404-2005
Mailing Address - Fax:
Practice Address - Street 1:238 TOLLAND TPKE
Practice Address - Street 2:G
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-1744
Practice Address - Country:US
Practice Address - Phone:860-646-2015
Practice Address - Fax:860-643-5086
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-20
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-0002571152W00000X
CT3001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty