Amanda Joy Donabauer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60294957 Issued in WA

Practice address

1411 N Aurora Ave
East Wenatchee, WA 98802-4363

Phone

(509) 421-9376

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source of Wenatchee, PSGroup PAC ID 0749294536, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vision Source of Wenatchee, PS

  • Optometrist
  • Wenatchee, WA
  • NPI 1023175163
  Medicare reassignment Care Compare group NPD
• Vision Source of Wenatchee, PS

  • Optometrist
  • Chelan, WA
  • NPI 1083454334
  NPD
• Vision Source of Wenatchee, PS

  • Optometrist
  • Leavenworth, WA
  • NPI 1538219787
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1407102452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N AURORA AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024363",
            "telephone_number": "509-421-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N AURORA AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024363",
            "telephone_number": "509-421-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONABAUER",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60294957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corissa Denham
• Floy Evon Detwiler, MD
• Diann Kale
• Allison Mehgan Diaz
• Amanpaul S Diwana, DC
• Michael J Dooley, LMT
• Dr Mileski DDS PLLC
• Donna Drollinger, MS SLP-CCC
• East Wenatchee Community Healthcare LLC
• East Wenatchee Ventures, L.L.C.

• Optometrist in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.