MEDICARE: DR. AMY B WARD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC0002339	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4519167	OTHER	FL	AETNA PROVIDER #
3	2285031	OTHER	FL	UNITED HEALTHCARE PROVIDE
4	20325	OTHER	FL	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962493734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY B WARD O.D.

Provider Business Mailing Address
First Line	:	7201 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-7101
Country	:	US
Telephone Number	:	407-671-3100
Fax Number	:	407-671-8245

Provider Business Practice Location Address
First Line	:	7201 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-7101
Country	:	US
Telephone Number	:	407-671-3100
Fax Number	:	407-671-8245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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