Provider Demographics
NPI:1487766424
Name:STEHLIK-AMADOR, NANCY ANN (OD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:STEHLIK-AMADOR
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 1:1700 RANCH ROAD 620 S STE A
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6246
Mailing Address - Country:US
Mailing Address - Phone:512-263-9970
Mailing Address - Fax:512-263-9954
Practice Address - Street 1:1700 RANCH ROAD 620 S STE A
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6246
Practice Address - Country:US
Practice Address - Phone:512-263-9970
Practice Address - Fax:512-263-9954
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX3225 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0059FCOtherBLUE CROSS
TX00205YMedicare ID - Type Unspecified