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NPI Code Detail

MEDICARE: JANINE C. AMAN O.D.

MEDICARE:   JANINE C. AMAN  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
1152W00000XOptometrist5098TGTX

General Provider Information

NPI Number : 1275610289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE C. AMAN O.D.
Provider Business Mailing Address
First Line : 2440 E 5TH ST
Second Line :
City : TYLER
State : TX
Zip : 75701-3525
Country : US
Telephone Number : 903-595-0500
Fax Number : 903-595-2153
Provider Business Practice Location Address
First Line : 608 S PALESTINE ST
Second Line :
City : ATHENS
State : TX
Zip : 75751-3323
Country : US
Telephone Number : 903-675-6440
Fax Number : 903-675-6676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/08/2015

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Directions to “ JANINE C. AMAN O.D.” Practice Location

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