Individual provider Active NPI

Amanda Paige Hordos, O.D.

  • Optometrist
  • Mahopac, NY
National Provider Identifier
1053624007
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007551 Issued in NY
Practice address
572 Route 6
Family Vision Care of Mahopac
Mahopac, NY 10541-4787
Phone
(845) 628-3750
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007551 NY Primary

Addresses

Primary practice location

572 Route 6
Family Vision Care of Mahopac
Mahopac, NY 10541-4787

Mailing address

146 E 49TH St
Apartment 3a
New York, NY 10017-1212
Phone (631) 877-0651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131015000785 NY Practitioner - Optometry 1254565831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Mahan Rd
Old Bethpage, NY 11804-1213
Phone (631) 877-0651

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007551NYMDMental Health Counselor
TUV007551NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda P Hordos OD PLLC Optometrist CurrentSince Jul 15, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1053624007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E 49TH ST",
            "address_2": "APARTMENT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171212",
            "telephone_number": "631-877-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6",
            "address_2": "FAMILY VISION CARE OF MAHOPAC",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414787",
            "telephone_number": "845-628-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORDOS",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.