Amanda Joy Korth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1926DT Issued in KY

Practice address

104 N Walnut St
West Union, IA 52175-1347

Phone

(563) 422-6085

NPI assigned

Aug 4, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Provider Enterprise LLC 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Provider Enterprise LLC

  • Optometrist
  • Omaha, NE
  • NPI 1770852196

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Korth Eye Care LLC

  • Optometrist
  • Ankeny, IA
  • NPI 1033588397

  IA

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1013349869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PAINE STREET SE",
            "address_2": "STE 3",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351451",
            "telephone_number": "515-267-7908",
            "fax_number": "515-209-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WALNUT ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751347",
            "telephone_number": "563-422-6085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Paine Street SE",
            "address_2": "Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bondurant",
            "state": "IA",
            "postal_code": "500351451",
            "country_code": "US",
            "telephone_number": "515-267-7908",
            "fax_number": "515-209-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORTH",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1926DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Yngve Jacobson Jr., CRNA
• Carol L Jeglum, PAC
• Kylie Lynn Jirak, CNM
• John W Pleggenkuhle DC PC
• Angela Frances Kerndt, RD, LD
• KT'S Therapy Services, LLC
• Holiday Judy Kuhse, LPTA
• Hannah Lauer, PHARMD
• Ashton Lee, CCC-SLP
• Renae E Lembke, P.T.

• All providers in West Union, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.