Amanda Gerson

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011301 Issued in IL

Practice address

519 S State St
Jerseyville, IL 62052-2241

Phone

(618) 494-4030

Fax

(618) 473-8230

NPI assigned

May 29, 2019

Last updated

Aug 20, 2024By the provider in NPPES

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 IL

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

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian County VisionaryGroup PAC ID 3971005067, 4 clinicians

Allied Vision Source LLCGroup PAC ID 4486964665, 6 clinicians

Fireside Eye Care, P.C.Group PAC ID 3678524436, 3 clinicians

DRS Sehy and Jones Optometrists PCGroup PAC ID 0941388722, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

• Allied Vision Source, LLC

  • Optometrist
  • Decatur, IL
  • NPI 1861860363
  Medicare reassignment Care Compare group NPD
• Christian County Visionary

  • Optometrist
  • Pana, IL
  • NPI 1508526864
  Medicare reassignment Care Compare group NPD
• DRS. Sehy and Jones Optometrists, P.C.

  • Optometrist
  • Effingham, IL
  • NPI 1003026204
  Medicare reassignment Care Compare group NPD
• Fireside Eye Care, P.C.

  • Optometrist
  • Benld, IL
  • NPI 1447448717
  Medicare reassignment Care Compare group NPD
• Bergh-White Opticians, Inc

  • Vision Therapy Optometrist
  • Springfield, IL
  • NPI 1255491775
  Medicare reassignment NPD
• Great Rivers Eye Care

  • Optometrist
  • Jerseyville, IL
  • NPI 1770294449
  Medicare reassignment NPD
• Pec Brighton PLLC

  dba Performance Eyecare

  • Optometrist
  • Brighton, IL
  • NPI 1689490070
  NPD
• DRS. Sehy and Jones Optometrists P.C.

  dba Vision Source Pana

  • Optometrist
  • Pana, IL
  • NPI 1932591831
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1417514134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522241",
            "telephone_number": "618-494-4030",
            "fax_number": "618-473-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522241",
            "telephone_number": "618-494-4030",
            "fax_number": "618-473-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Frazier
• Becky Furry
• Emily Galore, BEHAVIOR TECHNICIAN
• Gelsthorpes Inc (Medicine Shoppe)
• German Insurance Agency
• David J Goetten, D.M.D.
• Edward Eugene Goetten, D.O
• Marianne C. Golike, LCPC
• Great Rivers Eye Care
• Katelyn Elizabeth Green

• Optometrist in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.