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General NPI Number Information
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NPI Number | 1215551759
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Entity Type | Individual
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Provider Name | AMBER LINDAHL OD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 6380 W INDIANTOWN RD STE 14
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City | JUPITER
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State | FL
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Zip | 33458-7979
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Country | US
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Telephone | 561-842-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 LADSON TER
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City | LAKE WORTH
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State | FL
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Zip | 33467-7726
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Country | US
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Telephone | 561-767-0651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC005793
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | OPC005793
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC005793
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License Number State | FL
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