Amanda Colleen Paull, OD MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001501 Issued in VA

Practice address

9200 Stony Point Pkwy Ste 195B
Richmond, VA 23235-1971

Phone

(804) 272-0848

Fax

(804) 272-0849

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Dr Amanda Paull and Associates PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1992956163
  Medicare reassignment NPD Authorized official
• Solomon Eye Associates PC

  • Optometrist
  • Midlothian, VA
  • NPI 1063760601
  Medicare reassignment NPD
• Amanda Colleen Paull

  • Optometrist
  • Richmond, VA
  • NPI 1083826259
  NPD (past) Authorized official
• Swift Creek Eye Center, PC

  • Optometrist
  • Midlothian, VA
  • NPI 1013091628
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376587022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 VILLAGE PARK DR E",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852407",
            "telephone_number": "804-263-7845",
            "fax_number": "804-335-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 STONY POINT PKWY STE 195B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351971",
            "telephone_number": "804-272-0848",
            "fax_number": "804-272-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "AMANDA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "OD MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001501",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001501",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618001501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CREDENTIALING",
            "identifier": "11558617",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0618001501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Paul Jr., MD
• Margaret Timlin Paul, LCSW
• Paradise Paula Paul, LPC, CSOTP
• Reshma Sara Paul, CRNA
• Paull Vision Care PLLC
• Arin Paulson, PHARM D.
• Lindsay Hall Pavalonis, FNP
• Sonja Marie Paviour, LCSW
• Isabela Lucretia Pavkov
• David Francis Pawlowski, M.ED, ATC

• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.