Active NPI
Amanda Georgiann Temnykh, O.D.
- Optometrist
- Mill Hall, PA
National Provider Identifier
1407852296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002031
- Practice address
- 167 Hogan Blvd
Mill Hall, PA 17751-1902 - Phone
- (570) 893-8286
- Fax
- (570) 893-8465
- NPI assigned
- Jun 26, 2005
- Last updated
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002031 | PA | Primary |
Addresses
Primary practice location
167 Hogan Blvd
Mill Hall, PA 17751-1902
Mailing address
211 Pine Hollow LN
Pennsylvania Furnace, PA 16865-9560
Phone (814) 692-4853
Other names 1
- Dr. Amanda Georgiann Rockower
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
dba Advanced Eye Care Services
- Eyewear Supplier
- State College, PA
- NPI 1356505663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1407852296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 PINE HOLLOW LN",
"city": "PENNSYLVANIA FURNACE",
"state": "PA",
"postal_code": "168659560",
"telephone_number": "814-692-4853",
"fax_number": "570-892-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 HOGAN BLVD",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177511902",
"telephone_number": "570-893-8286",
"fax_number": "570-893-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMNYKH",
"first_name": "AMANDA",
"middle_name": "GEORGIANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-26",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ROCKOWER",
"middle_name": "GEORGIANN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mill Hall, PA
- Lisa Neff Snead, LCSW
- Alexandra Louise Snyder
- Kristie J Steinbacher, LCSW
- Nichole Struble, LPN
- Emily Sweely, MS
- Terry W Hendricks, D.M.D., PC (Hometown Dental)
- Universal Community Behavioral Health
- Universal Community Behavioral Health
- Universal Community Behavioral Health
- Universal Community Behavioral Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.