Individual provider Active NPI

Amanda Gabriela Brewer, OD

  • Optometrist
  • Gardnerville, NV
National Provider Identifier
1033630660
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
951 Issued in NV
Practice address
1538 US Highway 395 N
Gardnerville, NV 89410-5402
Phone
(775) 783-1111
NPI assigned
Jul 5, 2017
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 951 NV Primary

Addresses

Primary practice location

1538 US Highway 395 N
Gardnerville, NV 89410-5402

Mailing address

1538 US Highway 395 N
Gardnerville, NV 89410-5402
Phone (775) 783-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20180827002615 NV Practitioner - Optometry 4688923485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somer J Lyons OD LTDGroup PAC ID 0042245854, 2 clinicians

Practice addresses (Care Compare)

1538 US Hwy 395 N
Gardnerville, NV 89410-5402
Phone (775) 783-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
951NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer and Lyons Eyecare, LTD Optometrist CurrentSince Aug 1, 2018 Accepting new patients
State of Nevada PastSince Nov 3, 2019 Accepting new patients

Locations

1538 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-3671

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1033630660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105402",
            "telephone_number": "775-783-1111",
            "fax_number": "775-783-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105402",
            "telephone_number": "775-783-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "AMANDA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.