Provider Demographics
NPI:1316906373
Name:AMELL, DAVID F (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:AMELL
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2921 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1430
Mailing Address - Country:US
Mailing Address - Phone:315-446-5120
Mailing Address - Fax:315-446-5177
Practice Address - Street 1:201 MARKET ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1218
Practice Address - Country:US
Practice Address - Phone:315-265-7872
Practice Address - Fax:315-265-6533
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYTUV007135-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist