Amanda J Stott, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1881651511
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046009775 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-04-27
- Last updated
- 2007-12-27
Practice location
280 N Phelps Ave
Rockford, IL 61108-2498
(815) 986-1900