Amanda Ruth Parmer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005519 Issued in MI

Practice address

33100 S Gratiot Ave
Clinton Township, MI 48035-4036

Phone

(586) 294-0120

Fax

(586) 294-6322

NPI assigned

May 24, 2021

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 names 1

• Dr. Amanda Ruth Kruse Former name

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.

• Ky Doctors of Optometry, PLLC

  • Optometrist
  • Louisville, KY
  • NPI 1700890001

  KY, Optometrist

  Medicare reassignment Care Compare group NPD
• Simpson Optical PLLC

  • Optometrist
  • Lexington, KY
  • NPI 1780875880

  KY, Optometrist

  Medicare reassignment NPD
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Lexington, KY
  • NPI 1255415410
  Care Compare group NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Georgetown, KY
  • NPI 1740644947

  Optometrist

  Care Compare group NPD (past)
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Frankfort, KY
  • NPI 1790118776

  Optometrist

  Care Compare group NPD (past)
• Dr. Mark Lynn & Associates, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Florence, KY
  • NPI 1083160915
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1205919099
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Bowling Green, KY
  • NPI 1306920632
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Lexington, KY
  • NPI 1407930712
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1417384207
  Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1427131176
  Care Compare group

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLC 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akruse733496@direct.hfhs.org
• Direct secure messaging: akruse@optimeyes.emadirect.md

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1366017261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 S GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 S GRATIOT AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354036",
            "telephone_number": "586-294-0120",
            "fax_number": "586-294-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "AMANDA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KRUSE",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ethan Royce Parker, DO
• Jennifer M Parker, CRNA
• Maya C Parker
• Sade Parker
• Cindy Lou Parks, LPC
• Adina Derecichei Parrish, FNP
• Elenn' E. Parrish, M.D.
• Ruth Leah Paster Davis, LMSW
• Stephanie Patalon, RN
• Bhavinbhai Patel, PT

• All providers in Clinton Township, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.