Provider Demographics
NPI:1386872554
Name:POSEY, AMANDA RENEE (OD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:RENEE
Last Name:POSEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 FOXPOINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203
Mailing Address - Country:US
Mailing Address - Phone:812-379-9893
Mailing Address - Fax:812-379-9904
Practice Address - Street 1:2665 FOXPOINTE DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3222
Practice Address - Country:US
Practice Address - Phone:812-379-9893
Practice Address - Fax:812-379-9904
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003597A152W00000X
IN18003597B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist