MEDICARE: DR. AMY LYNN BANKEY OD

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	5840	OH

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

General Provider Information

NPI Number	:	1740410422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY LYNN BANKEY OD

Provider Business Mailing Address
First Line	:	570 E KREMER HOYING RD
Second Line	:
City	:	SAINT HENRY
State	:	OH
Zip	:	45883-9613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 E KREMER HOYING RD
Second Line	:
City	:	SAINT HENRY
State	:	OH
Zip	:	45883
Country	:	US
Telephone Number	:	419-678-8800
Fax Number	:	419-678-4224

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

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	01/24/2024

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