Active NPI
Amanda Baumgardner, ABOC
- Optician
- North Platte, NE
National Provider Identifier
1043132756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 264382
- Practice address
- 1401 S Dewey St
North Platte, NE 69101-7650 - Phone
- (308) 532-0220
- Fax
- (308) 532-0500
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 264382 | NE | Primary |
Addresses
Primary practice location
1401 S Dewey St
North Platte, NE 69101-7650
Mailing address
1401 S Dewey St
North Platte, NE 69101-7650
Phone (308) 532-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1043132756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S DEWEY ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691017650",
"telephone_number": "308-532-0220",
"fax_number": "308-532-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S DEWEY ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691017650",
"telephone_number": "308-532-0220",
"fax_number": "308-532-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARDNER",
"first_name": "AMANDA",
"credential": "ABOC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NE",
"license": "264382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.