Individual provider Active NPI

Amanda Weiss, OD

  • Optometrist
  • Wellington, FL
National Provider Identifier
1356480313
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4077 Issued in FL
Practice address
2545 S State Road 7
#10
Wellington, FL 33414-9323
Phone
(561) 876-5385
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4077 FL Primary

Addresses

Primary practice location

2545 S State Road 7
#10
Wellington, FL 33414-9323

Mailing address

2545 S State Road 7
# 10
Wellington, FL 33414-9323
Phone (561) 876-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080319000238 FL Practitioner - Optometry 3779543624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aw EyecareGroup PAC ID 2961647953, 2 clinicians

Practice addresses (Care Compare)

2545 S State Rd
Suite 7
Wellington, FL 33414-9323
Phone (561) 876-5385

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4077FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aw Eyecare Optometrist CurrentSince Dec 18, 2012 Accepting new patients
East Florida Eye Institute PA Past Accepting new patients

Locations

2545 S State Road 7
#10
Wellington, FL 33414
Phone (561) 790-7290

2545 S State Road 7
Wellington, FL 33414
Phone (561) 876-5385

Organizations & group practices 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1356480313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S STATE ROAD 7",
            "address_2": "# 10",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-876-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S STATE ROAD 7",
            "address_2": "#10",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149323",
            "telephone_number": "561-876-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.