Provider Demographics
NPI:1871510206
Name:DELMORE, AMANDA JEAN (OD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:JEAN
Last Name:DELMORE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:5151 POST RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1245
Mailing Address - Country:US
Mailing Address - Phone:614-889-8331
Mailing Address - Fax:614-760-0256
Practice Address - Street 1:5151 POST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1245
Practice Address - Country:US
Practice Address - Phone:614-889-8331
Practice Address - Fax:614-760-0256
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH5619152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist