Individual provider Active NPI

Amy H Layman, OD

  • Optometrist
  • Elkhart, IN
National Provider Identifier
1215965454
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003568A Issued in IN
Practice address
2746 Old US 20 W
Elkhart, IN 46514-1364
Phone
(574) 293-3545
Fax
(574) 522-0599
NPI assigned
Jun 28, 2006
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1878 MD
Optometrist 152W00000X 18003568A IN Primary
Corneal and Contact Management Optometrist 152WC0802X TA1878 MD
Pediatric Optometrist 152WP0200X TA1878 MD
Sports Vision Optometrist 152WS0006X TA1878 MD
Vision Therapy Optometrist 152WV0400X TA1878 MD
Occupational Vision Optometrist 152WX0102X TA1878 MD

Addresses

Primary practice location

2746 Old US 20 W
Elkhart, IN 46514-1364

Mailing address

2746 Old US 20 W
Elkhart, IN 46514-1364
Phone (574) 293-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090820000683 IN Practitioner - Optometry 8628035441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boling Vision Center LLCGroup PAC ID 6103921556, 12 clinicians

Practice addresses (Care Compare)

2004 Edison Rd a
South Bend, IN 46617-1712
Phone (574) 293-3545

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boling Vision Center, LLC CurrentSince Apr 12, 2011 Accepting new patients
Boling Vision Center, LLC CurrentSince Apr 12, 2011 Accepting new patients
Christopher J. Wolf, OD, Inc Optometrist Past Accepting new patients
Northern Indiana Optometrists, PC Optometrist Past Accepting new patients

Locations

2746 US Highway 20 W
Elkhart, IN 46514
Phone (574) 293-3545

2746 US Highway 20 W
Ste B
Elkhart, IN 46514
Phone (574) 293-3545

17900 Ireland Rd
South Bend, IN 46614
Phone (574) 291-9280

2004 Edison Rd
#A
South Bend, IN 46617
Phone (574) 288-2400

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, 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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1215965454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545",
            "fax_number": "574-522-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "AMY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003568A",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MD",
            "license": "TA1878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.