Active NPI
Amanda Mayhew
- Optician
- Eugene, OR
National Provider Identifier
1235983354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 251203
- Practice address
- 4550 W 11TH Ave
Eugene, OR 97402-5414 - Phone
- (541) 344-3440
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 251203 | OR | Primary |
Addresses
Primary practice location
4550 W 11TH Ave
Eugene, OR 97402-5414
Mailing address
1066 Applegate PL
Harrisburg, OR 97446-8703
Phone (801) 897-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251203 | OR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1235983354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 APPLEGATE PL",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "974468703",
"telephone_number": "801-897-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025414",
"telephone_number": "541-344-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYHEW",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OR",
"license": "251203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.