Active NPI
Amanda M. Hunter, OD
- Optometrist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00595
- Practice address
- 623 Atwells Ave
Eye Clinic
Providence, RI 02902-2472 - Phone
- (401) 459-4770
- NPI assigned
- Jul 7, 2013
- 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 | ODTG00595 | RI | Primary |
Addresses
Primary practice location
623 Atwells Ave
Eye Clinic
Providence, RI 02902-2472
Mailing address
23 Cliff St
Tiverton, RI 02878-1017
Phone (315) 558-8172
Other practice location 1
500 E Washington St Unit 12
North Attleboro, MA 02760-6302
Phone (508) 695-4200
Other practice location 2
335R Prairie Ave
Providence, RI 02905-2426
Phone (401) 444-0422
Other names 1
- Dr. Amanda M Gajewski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahunter58267@HCNetwork.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Prairie Ave
Providence, RI 02905-1924
Phone (401) 444-0422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00595 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Community Health Centers, Inc | Current | Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients |
Locations
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
Interoperability endpoints
- ahunter58267@hcnetwork.direct-ci.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1053313593
-
- Optometrist
- Malden, MA
- NPI 1063610194
-
- Optometrist
- North Attleboro, MA
- NPI 1851388292
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1558650986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1114368164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CLIFF ST",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028781017",
"telephone_number": "315-558-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 ATWELLS AVE",
"address_2": "EYE CLINIC",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029022472",
"telephone_number": "401-459-4770"
}
],
"practiceLocations": [
{
"address_1": "500 E Washington St Unit 12",
"address_purpose": "LOCATION",
"city": "North Attleboro",
"state": "MA",
"postal_code": "027606302",
"country_code": "US",
"telephone_number": "508-695-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335R Prairie Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052426",
"country_code": "US",
"telephone_number": "401-444-0422",
"fax_number": "401-444-0427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTER",
"first_name": "AMANDA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-07",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00595",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahunter58267@HCNetwork.direct-ci.com",
"affiliation": "N",
"address_1": "335R Prairie Ave",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029052426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "GAJEWSKI",
"middle_name": "M",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.