Individual provider Active NPI

Amanda Kathleen Howell, OD

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1417706516
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1092P-Y Issued in MS
Practice address
837 Kings Crossing Dr
Tupelo, MS 38804-0954
Phone
(662) 269-4175
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 1092P-Y MS Primary

Addresses

Primary practice location

837 Kings Crossing Dr
Tupelo, MS 38804-0954

Mailing address

837 Kings Crossing Dr Ste 10
Tupelo, MS 38804-0952
Phone (662) 269-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241016000055 MS Practitioner - Optometry 8022540038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rayner Eye Clinic, LLCGroup PAC ID 9537136577, 10 clinicians

Practice addresses (Care Compare)

2606 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1092P-YMSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rayner Eye Clinic, LLC CurrentSince Sep 15, 2025 Accepting new patients
Steve Beaty, O.D., PLLC Optometrist CurrentSince Sep 16, 2024 Accepting new patients
Rayner Optical, LLC Past Accepting new patients

Locations

2606 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-0173

1020 N Gloster St
Tupelo, MS 38804
Phone (407) 508-8618

837 Kings Crossing Dr
Ste 10
Tupelo, MS 38804
Phone (662) 269-4175

Interoperability endpoints

  • Direct secure messaging: amandahowell@direct-address.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1417706516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 KINGS CROSSING DR STE 10",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040952",
            "telephone_number": "662-269-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 KINGS CROSSING DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040954",
            "telephone_number": "662-269-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "AMANDA",
        "middle_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1092P-Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.