DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMY LYNNE BRYAN O.D.

MEDICARE: AMY LYNNE BRYAN 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
1152W00000XOptometrist18002898BIN

General Provider Information

NPI Number : 1245316348
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNNE BRYAN O.D.
Provider Business Mailing Address
First Line : 11511 GREEN HOLLY CV
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-2018
Country : US
Telephone Number : 260-490-4201
Fax Number :
Provider Business Practice Location Address
First Line : 5311 COLDWATER RD
Second Line : WAL-MART VISION CENTER
City : FORT WAYNE
State : IN
Zip : 46825-5444
Country : US
Telephone Number : 260-407-4150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1396762506 — WAL-MART STORES EAST LP
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 260-484-4528
Practice Fax:
1851473086 — WAL-MART STORES EAST, LP
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 260-484-4198
Practice Fax:
1306443007 — DR. AUSTIN GERMANN PHARM D
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 260-484-4528
Practice Fax:
1760140503 — RENU JOHNSON
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 260-484-4528
Practice Fax:
1144082504 — ESTHER NYEMBO
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 832-253-2043
Practice Fax:
1992536676 — SAMANTHA ZIEMNIAK
Practice Location Address:
5311 COLDWATER RD
FORT WAYNE, IN
46825-5444
Practice Phone: 260-484-4528
Practice Fax:

Directions to “ AMY LYNNE BRYAN O.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.