Amanda Ann Winterboer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002495 Issued in IA

Practice address

110 W 4TH St
Spencer, IA 51301-3858

Phone

(712) 262-3331

Fax

(712) 262-6885

NPI assigned

Jul 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda Ann Mesner Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spencer Total Family Eyecare, P.C.

  • Optometrist
  • Spencer, IA
  • NPI 1841603271

  IA, Optometrist

  Medicare reassignment NPD Authorized official
• Spencer Total Family Eyecare PC

  • Ophthalmologic Surgery Clinic/Center
  • Spencer, IA
  • NPI 1164836839
  NPD (past) Authorized official
• Michael K Chapman OD PC

  • Optometrist
  • Spencer, IA
  • NPI 1225268485
  NPD (past)

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1154634780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513010243",
            "telephone_number": "712-262-3331",
            "fax_number": "712-262-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013858",
            "telephone_number": "712-262-3331",
            "fax_number": "712-262-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERBOER",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-25",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154634780",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MESNER",
            "middle_name": "ANN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• White Drug Enterprises Inc
• Angie Marie Wigen, COTA/L
• Barbara L Wilkerson, ARNP
• Janette R Willison, LMSW
• Brian Patrick Wilson, D.O.
• Travis J. Witt, M.D.
• Emma Sharie Wolf, DDS
• Amanda E Young, DO
• Allyson Jeanne Zahm
• Chelsea Zaragoza

• All providers in Spencer, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.

Verify at the official NPI Registry.