Amanda Kay Dexter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13952 Issued in CA

Practice address

3655 Nobel Dr Ste 130
San Diego, CA 92122-1004

Phone

(858) 945-4023

NPI assigned

Jul 2, 2010

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Del Mar Optometric GroupGroup PAC ID 1355734286, 3 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.

• Del Mar Optometric Group

  • Optometrist
  • Del Mar, CA
  • NPI 1770243891
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas S Tooma M D a Professional Corporation

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1922129865

  Optometrist

  Medicare reassignment NPD
• Thomas S Tooma M D a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1215583257
  NPD
• GW Eye Associates Inc

  • Optometrist
  • La Jolla, CA
  • NPI 1770554057
  NPD (past)
• Wink Optometry del Mar Inc

  • Optometrist
  • Del Mar, CA
  • NPI 1467907899
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1407168768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8758 DENT CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191406",
            "telephone_number": "858-945-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NOBEL DR STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221004",
            "telephone_number": "858-945-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 Camino Del Mar Ste C",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920142553",
            "country_code": "US",
            "telephone_number": "858-945-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dewolf, MS, RD
• Catherine Dewoody, FNP
• Wendy Dewoody
• Sarah Dewyse, LCSW
• Dexcom, Inc.
• Lindsey Dexter, RBT
• Timothy W Dey, PT, DPT, SCS, CSCS
• Henry Richard Deyoung, MD
• Jessica Louise Deyoung
• Tracey Honohan Deyoung, MD

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.