Individual provider Active NPI

Amanda M. Hunter, OD

  • Optometrist
  • Providence, RI
National Provider Identifier
1114368164
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00595 Issued in RI
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

Updated by the provider on Dec 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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahunter58267@HCNetwork.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140127001276 MA Practitioner - Optometry 3375772106 Reassigns benefits to 2 organizations
I20200319001112 RI Practitioner - Optometry 3375772106 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ODTG00595RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Providence Community Health Centers, Inc CurrentSince Apr 6, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.