Active NPI
Amanda Sappington, O.D.
- Optometrist
- Canyon, TX
National Provider Identifier
1104178763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8095T
- Practice address
- 3406 4TH Ave Unit B
Canyon, TX 79015-4357 - Phone
- (806) 884-2743
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8095T | TX | Primary |
Addresses
Primary practice location
3406 4TH Ave Unit B
Canyon, TX 79015-4357
Mailing address
3406 4TH Ave Unit B
Canyon, TX 79015-4357
Phone (806) 884-2743
Other practice location 1
4612 S Coulter St
Amarillo, TX 79119-6403
Phone (806) 677-0175
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3406 4TH Ave
Unit B
Canyon, TX 79015-4357
Phone (806) 884-2743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8095 | TX | MD | Chiropractor |
| 8095T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Espy Vision, PLLC | Optometrist | Current | Accepting new patients |
| Medical Center Eye Associates, P.a. | Optometrist | Current | Accepting new patients |
| Jimmy Wadley Eye Care PA | Past | Accepting new patients |
Locations
1900 S Coulter St
Ste I
Amarillo, TX 79106
Phone (806) 355-9411
3406 4th Ave
Unit B
Canyon, TX 79015
Phone (806) 884-2743
Organizations & group practices 3
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.
-
- Optometrist
- Canyon, TX
- NPI 1720717796
-
- Optometrist
- Amarillo, TX
- NPI 1063442010
-
- Corneal and Contact Management Optometrist
- Abilene, TX
- NPI 1568524890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670716800000",
"number": "1104178763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 4TH AVE UNIT B",
"city": "CANYON",
"state": "TX",
"postal_code": "790154357",
"telephone_number": "806-884-2743",
"fax_number": "806-677-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 4TH AVE UNIT B",
"city": "CANYON",
"state": "TX",
"postal_code": "790154357",
"telephone_number": "806-884-2743"
}
],
"practiceLocations": [
{
"address_1": "4612 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791196403",
"country_code": "US",
"telephone_number": "806-677-0175",
"fax_number": "806-677-0177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPPINGTON",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2022-12-11",
"certification_date": "2022-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8095T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.