Provider Demographics
NPI:1952563074
Name:REESE, AMY MERENSTEIN (OD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MERENSTEIN
Last Name:REESE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:10784 RICHMOND PL
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4913
Mailing Address - Country:US
Mailing Address - Phone:954-430-0877
Mailing Address - Fax:954-989-2325
Practice Address - Street 1:950 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7029
Practice Address - Country:US
Practice Address - Phone:954-587-2546
Practice Address - Fax:954-345-8981
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC2946152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist