DEAN AMUNDSEN — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, CA)
DEAN AMUNDSEN — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DEAN AMUNDSEN; Type: Individual; NPI: 1003021205.
| Name | DEAN AMUNDSEN |
|---|---|
| Type | Individual |
| NPI | 1003021205 |
| Provider type | PRACTITIONER - OPTOMETRY |
| State | CA |
| Enrollment ID | I20031124000785 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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