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Contact Information

DEAN K AMUNDSEN, OD
2460 N PONDEROSA DR
SUITE A-101
CAMARILLO, CA93010-2398
 Phone: 805-482-1136
 Fax: 805-388-8499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DEAN K AMUNDSEN · (Male)

NPI # 1003021205
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/11/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # OPT 7925 TPA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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