Individual provider Active NPI

Amy Lynn Myers, OD

  • Optometrist
  • Tipp City, OH
National Provider Identifier
1285256933
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006873 Issued in OH
Practice address
115 S Tippecanoe Dr
Tipp City, OH 45371-1194
Phone
(937) 667-1270
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006873 OH Primary

Addresses

Primary practice location

115 S Tippecanoe Dr
Tipp City, OH 45371-1194

Mailing address

115 Rupolo Dr
Saint Paris, OH 43072-9544
Phone (937) 935-5965

Other names 1

  • Amy Lynn Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200604001591 OH Practitioner - Optometry 1557782224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tipp Eye Center IncGroup PAC ID 6709919905, 3 clinicians

Practice addresses (Care Compare)

115 S Tippecanoe Dr
Tipp City, OH 45371-1194
Phone (937) 667-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006873OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tipp Eye Center Inc Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

115 S Tippecanoe Dr
Tipp City, OH 45371
Phone (937) 667-1270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1285256933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RUPOLO DR",
            "city": "SAINT PARIS",
            "state": "OH",
            "postal_code": "430729544",
            "telephone_number": "937-935-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711194",
            "telephone_number": "937-667-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PRICE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tipp City, OH

Sources for this page

Verify at the official NPI Registry.