Amanda Elaine Judson, O.D., M.S., FCOVD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003213A Issued in IN

Practice address

643 Ohio St
Terre Haute, IN 47807-3525

Phone

(812) 232-1000

Fax

(812) 232-1007

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Judson Family Vision Care, LLC

  • Optometrist
  • Terre Haute, IN
  • NPI 1346748225
  Medicare reassignment NPD Authorized official
• Dr Linda a Frechette Inc.

  • Optometrist
  • Franklin, IN
  • NPI 1578745733
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1255367686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "AMANDA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S., FCOVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003213A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OK2358",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200464780",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "N3000881",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jr Pharmacy Poplar LLC
• Jr Pharmacy Poplar LLC
• Jr Scripts Pharmacy No 1 LLC
• Jr Scripts Pharmacy No 1 LLC
• Judson Family Vision Care, LLC
• Allison Lee Judy, ATC
• Jeffrey A Jungers, M.D.
• Laura Juzeszyn, ATC
• Neil G Kabous, MD
• Sarah Kachman, N.P.

• Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.