Individual provider Active NPI

Amy Lambert, OD

  • Optometrist
  • Peachtree City, GA
National Provider Identifier
1083759864
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2186 Issued in GA
Practice address
301 Petrol PT
Peachtree City, GA 30269-1552
Phone
(770) 487-2020
NPI assigned
Feb 20, 2007
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2186 GA Primary

Addresses

Primary practice location

301 Petrol PT
Peachtree City, GA 30269-1552

Mailing address

301 Petrol PT
Peachtree City, GA 30269-1552
Phone (770) 487-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20041112000592 GA Practitioner - Optometry 2567426240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Plus IncGroup PAC ID 7517953672, 4 clinicians

Practice addresses (Care Compare)

301 Petrol PT
Suite B
Peachtree City, GA 30269-1552
Phone (770) 487-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Plus LLC CurrentSince Feb 3, 2020 Accepting new patients
Oneopto Ga 1 PLLC Optometrist PastSince Dec 3, 2023 Accepting new patients

Locations

301 Petrol Pt
Peachtree City, GA 30269
Phone (770) 487-2020

301 Petrol Pt
#B
Peachtree Cty, GA 30269
Phone (770) 487-2020

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1083759864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PETROL PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691552",
            "telephone_number": "770-487-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PETROL PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691552",
            "telephone_number": "770-487-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.