DR. Amy J Walport, O.D.

NPI #1831408186 in Mira Loma, California

Provider Information

NPI Number: 1831408186
Entity Type: Individual
Name: DR. Amy J Walport, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 5, 2010
Last Updated: Oct 5, 2010

Practice Location

Address: 12523 LIMONITE AVE STE 460
City: Mira Loma
State: California
ZIP Code: 91752-3668
Phone: (951) 685-9645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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