Individual provider Active NPI

Amanda Furr, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1124467998
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8450TG Issued in TX
Practice address
11888 Marsh LN 414
Dallas, TX 75234-8083
Phone
(972) 241-8084
Fax
(972) 241-8086
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2776 OK
Optometrist 152W00000X 8450TG TX Primary

Addresses

Primary practice location

11888 Marsh LN 414
Dallas, TX 75234-8083

Mailing address

11888 Marsh LN
Suite 414
Dallas, TX 75234-8083
Phone (972) 241-8084

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203001919 TX Practitioner - Optometry 4880919364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

11888 Marsh LN
Suite 114
Dallas, TX 75234-8083
Phone (972) 241-8084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2776OKMDOptometrist
8450TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Eye Consultants of Texas PA CurrentSince Jul 22, 2014 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

400 N 15th St
Corsicana, TX 75110
Phone (903) 229-4141

5560 W Lovers Ln
Ste 240
Dallas, TX 75209
Phone (469) 775-9700

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

11888 Marsh Ln
Ste 114
Dallas, TX 75234
Phone (972) 241-8084

2201 Westgate Plz
Grapevine, TX 76051
Phone (817) 410-2030

3405 Midway Rd
Ste 421
Plano, TX 75093
Phone (972) 801-2727

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1124467998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "address_2": "SUITE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-241-8084",
            "fax_number": "972-241-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-241-8084",
            "fax_number": "972-241-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURR",
        "first_name": "AMANDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2776",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8450TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.