Individual provider Active NPI

Amasa L Mecham, O.D.

  • Optometrist
  • Rock Springs, WY
National Provider Identifier
1306167838
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
456 Issued in WY
Practice address
201 Gateway Blvd
Rock Springs, WY 82901-5782
Phone
(803) 636-6450
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007647-1 NY
Optometrist 152W00000X 456 WY Primary
Optometrist 152W00000X 7571 T TX

Addresses

Primary practice location

201 Gateway Blvd
Rock Springs, WY 82901-5782

Mailing address

345 Fall View Cir
Green River, WY 82935-5401
Phone (803) 636-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20230817003877 WY Practitioner - Optometry 6709248073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
456WYMDClinical Psychologist
TUV007647-1NYMDOptometrist
7571 TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Vision Collective Desert View Eye Care Optometrist CurrentSince Jun 29, 2025 Accepting new patients

Locations

170 Commerce Dr
Ste C
Green River, WY 82935
Phone (307) 875-3399

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1306167838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 FALL VIEW CIR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355401",
            "telephone_number": "803-636-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GATEWAY BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015782",
            "telephone_number": "803-636-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHAM",
        "first_name": "AMASA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007647-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "456",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7571 T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.