Amanda Rogers McDowell, O.D.
Individual provider Active NPI Optometrist · Halifax, VA
NPI 1265797633 · NPPES record last updated Dec 11, 2016
Key facts
- NPI
- 1265797633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618002380 (VA)
- Practice address
- 1131 Brook Run Rd
Halifax, VA 24558-3088 - Phone
- (434) 222-4504
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002380 | VA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002380 | VA | Yes |
Addresses
Primary practice location
1131 Brook Run Rd
Halifax, VA 24558-3088
Mailing address
1131 Brook Run Rd
Halifax, VA 24558-3088
Other names
- Amanda Hope Rogers
Other providers in Halifax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.