Individual provider Active NPI

Amanda Dawn Morris, OD

  • Optometrist
  • Winchester, VA
National Provider Identifier
1407471758
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002894 Issued in VA
Practice address
905 Cedar Creek Grade Ste 100
Winchester, VA 22601-7100
Phone
(540) 665-0541
Fax
(540) 665-8286
NPI assigned
Jun 12, 2020
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002894 VA Primary

Addresses

Primary practice location

905 Cedar Creek Grade Ste 100
Winchester, VA 22601-7100

Mailing address

905 Cedar Creek Grade Ste 100
Winchester, VA 22601-7100
Phone (540) 665-0541

Other practice location 1

530 E Main St
Purcellville, VA 20132-3171
Phone (540) 338-1833

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210511001080 VA Practitioner - Optometry 2961811591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amanda Morris OD and Associates PLLCGroup PAC ID 4981144011, 5 clinicians

Practice addresses (Care Compare)

905 Cedar Creek Grade
Suite 100
Winchester, VA 22601-7100
Phone (540) 665-0541

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002894VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl K Robson OD PC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Amanda Morris OD and Associates, PLLC Optometrist CurrentSince Aug 2, 2024 Accepting new patients

Locations

905 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 665-0541

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1407471758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CEDAR CREEK GRADE STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017100",
            "telephone_number": "540-665-0541",
            "fax_number": "540-665-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CEDAR CREEK GRADE STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226017100",
            "telephone_number": "540-665-0541",
            "fax_number": "540-665-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E Main St",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201323171",
            "country_code": "US",
            "telephone_number": "540-338-1833",
            "fax_number": "540-338-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.