Active NPIIndividual provider

Jill M Amundson, OD

Optometrist in Portland, Maine

NPI Number1710983861
Practice location
15 Lowell St, Portland, ME 04102-2748
Fax
207-699-5850
Last updated
March 16, 2017

Jill M Amundson is an Optometrist based in Portland, ME. Jill M Amundson practices in Portland, ME and has the professional credentials of OD. The NPI Number for Jill M Amundson is 1710983861 and holds a License No. OPT843 (ME). The current practice location address for Jill M Amundson is 15 Lowell St, Portland, ME 04102-2748 and can be reached out via phone at 207-774-8277 and via fax at 207-699-5850.

Provider Profile Details

NPI Number
1710983861
Provider Name
Jill M Amundson
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
15 Lowell St, Portland, ME 04102-2748
Phone Number
207-774-8277
Fax Number
207-699-5850
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2005
Last Update Date
March 16, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Lowell St
Portland, ME 04102-2748
State
Maine
Zip
04102-2748
Phone Number
207-774-8277
Fax Number
207-699-5850
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
21 Barley Ln
Scarborough, ME 04074-8442
City
Scarborough
State
ME
Zip
04074-8442
Phone Number
207-415-4709

License Information

License Number
OPT843
License State
ME
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill M Amundson, OD?

The NPI number of Jill M Amundson, OD is 1710983861. It was assigned on June 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Jill M Amundson, OD?

Jill M Amundson, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number OPT843.

Where does Jill M Amundson, OD practice?

The practice location is 15 Lowell St, Portland, ME 04102-2748. The office can be reached at 207-774-8277 (phone) or 207-699-5850 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710983861 directly on the NPPES registry website.

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