| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA JIMENEZ | 1922239631 | 2024-09-08 |
Amanda Jimenez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922239631. Registration indicates Amanda Jimenez is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Dr. Amanda Jimenez O.D. |
| Practice Office Address | 43 SMITH RD NEWPORT, RI US |
| Practice Office Telephone | 4018416716 |
| Mailing Address | 43 SMITH RD NEWPORT, RI 028411006 US |
| Business Telephone | 4018416716 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | PAOEG002232
PA |
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | OEG002232
PA |