Provider Demographics
NPI:1821660572
Name:BURRELL, AMALIA CATHERINE (OD)
Entity Type:Individual
Prefix:DR
First Name:AMALIA
Middle Name:CATHERINE
Last Name:BURRELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 CLEARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1655
Mailing Address - Country:US
Mailing Address - Phone:610-631-1142
Mailing Address - Fax:
Practice Address - Street 1:10 CLEARFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-1655
Practice Address - Country:US
Practice Address - Phone:610-631-1142
Practice Address - Fax:610-631-2038
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003817152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist