IndividualActive
Amanda Minervini, OD
NPI 1184240780 · Optometrist · Murray, UT
Provider details
- NPI number
- 1184240780
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 27OA695800 (NJ)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
5357 S Baker St
Murray, UT 84107-6374
Phone: (973) 479-0136
Approximate (ZIP-level) locationGet directions
Mailing address
5357 S Baker St
Murray, UT 84107-6374
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.