Provider Demographics
NPI:1992084453
Name:WOLNERMAN, AMY HOLLANDER (OD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:HOLLANDER
Last Name:WOLNERMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:22235 MORNING GLORY TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4811
Mailing Address - Country:US
Mailing Address - Phone:515-865-3522
Mailing Address - Fax:561-395-6881
Practice Address - Street 1:5900 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7203
Practice Address - Country:US
Practice Address - Phone:561-338-7050
Practice Address - Fax:561-368-2376
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1453152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management