Individual provider Active NPI

Amanda Leigh Barker, OD

  • Optometrist
  • Denver, NC
National Provider Identifier
1124099502
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC 1851 Issued in NC
Practice address
7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7678
Phone
(704) 822-9920
Fax
(704) 822-1764
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC 1851 NC Primary

Addresses

Primary practice location

7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7678

Mailing address

7547 Waterside Loop Rd
Ste a
Denver, NC 28037-7677
Phone (704) 822-9920

Other identifiers 9

IdentifierTypeStateIssuer
2120531OtherMAMSI LIFE AND HEALTH
C8178OtherMEDCOST INC
2472315AOtherMEDICARE COMPLETE
093K3OtherBLUE SHIELD
NC1851OtherEYEMED VISION CARE
802245OtherCOMMUNITY EYE CARE
2472315AOtherMEDICARE CIGNA
89093K3MedicaidNC
89093K3OtherDMA PROVIDER SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040608000186 NC Practitioner - Optometry 2961309745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Eye Care - DRS of Optometry PLLCGroup PAC ID 6204733033, 7 clinicians

Practice addresses (Care Compare)

7547 Waterside Loop Rd
Denver, NC 28037-7677
Phone (704) 822-9920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC 1851NCMDOptometrist
1851NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eye Care - DRS of Optometry PLLC Optometrist CurrentSince Aug 1, 2003 Accepting new patients
Complete Eye Care OD PLLC Optometrist PastSince Jul 9, 2012 Accepting new patients

Locations

7547 Waterside Loop Rd
Denver, NC 28037
Phone (704) 822-9920

7547 Waterside Loop Rd
Ste A
Denver, NC 28037
Phone (704) 822-9920

Interoperability endpoints

  • Direct secure messaging: amanda.barker@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1124099502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 WATERSIDE LOOP RD",
            "address_2": "STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377677",
            "telephone_number": "704-822-9920",
            "fax_number": "704-822-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 WATERSIDE LOOP RD",
            "address_2": "STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377678",
            "telephone_number": "704-822-9920",
            "fax_number": "704-822-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC 1851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE AND HEALTH",
            "identifier": "2120531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST INC",
            "identifier": "C8178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "2472315A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "093K3",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NC1851",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY EYE CARE",
            "identifier": "802245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CIGNA",
            "identifier": "2472315A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093K3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMA PROVIDER SERVICES",
            "identifier": "89093K3",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.