Active NPI
Michael Edward Amos, O.D.
- Optometrist
- Redmond, WA
National Provider Identifier
1114023876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001322
- Practice address
- 8056 161St Ave NE
Redmond, WA 98052-3807 - Phone
- (425) 882-0545
- Fax
- (425) 861-5635
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001322 | WA | Primary |
Addresses
Primary practice location
8056 161St Ave NE
Redmond, WA 98052-3807
Mailing address
16209 NE 108TH CT
Redmond, WA 98052-2667
Phone (425) 881-2054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2053700 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001322 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114023876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16209 NE 108TH CT",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522667",
"telephone_number": "425-881-2054",
"fax_number": "425-861-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8056 161ST AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523807",
"telephone_number": "425-882-0545",
"fax_number": "425-861-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2053700",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
- Isabella Amar, DDS
- Sharon Ann Amaral, LAC,EAMP
- Amba Speech and Language Center, LLC
- American Current Care of Washington, P.S. (Concentra Urgent Care)
- Ramtin Amini, M.D.,D.M.D
- Catherine W Amundson, ARNP
- Phillip Michael Anciaux, PHARMD
- Carolyn M Anderson
- Maxine Kehaunani Lorita Anderson, LICSW
- Tana Anderson, MA, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.