Individual provider Active NPI

Candace E Lipshy, OD

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1023096849
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3717TG Issued in TX
Practice address
5311 W 9TH Ave
Amarillo, TX 79106-4161
Phone
(806) 359-3937
Fax
(806) 359-8124
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3717TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 3717TG TX

Addresses

Primary practice location

5311 W 9TH Ave
Amarillo, TX 79106-4161

Mailing address

5311 W 9TH Ave
Amarillo, TX 79106-4161
Phone (806) 359-3937

Other identifiers 4

IdentifierTypeStateIssuer
410022972OtherTXTEXAS RAILROAD MEDICARE
20117426OtherTXTEXAS DPS
0192254MedicaidTX
3717TGOtherTXOPTOMETRIC LICENSE NUMBER

Other names 1

  • Dr. Candace Lipshy Alpar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100902001034 TX Practitioner - Optometry 0446374003 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5311 SW 9TH Ave
Amarillo, TX 79106-4161

5311 Sw9Th Ave
Amarillo, TX 79106-4161
Phone (806) 359-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3717TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John J Alpar MD PA PastSince Aug 16, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1023096849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064161",
            "telephone_number": "806-359-3937",
            "fax_number": "806-359-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064161",
            "telephone_number": "806-359-3937",
            "fax_number": "806-359-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSHY",
        "first_name": "CANDACE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3717TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3717TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS RAILROAD MEDICARE",
            "identifier": "410022972",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS",
            "identifier": "20117426",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192254",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE NUMBER",
            "identifier": "3717TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "ALPAR",
            "middle_name": "LIPSHY",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.