Amanda N. Hale, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4840 Issued in MA

Practice address

457 Dalton Ave
Pittsfield, MA 01201-2978

Phone

(413) 442-9421

Fax

(413) 443-3115

NPI assigned

Feb 17, 2006

Last updated

Sep 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arlington Eye Center

  • Ophthalmology Physician
  • Arlington, VA
  • NPI 1447440797
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1437124070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 DALTON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012012978",
            "telephone_number": "413-442-9421",
            "fax_number": "413-443-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 DALTON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012012978",
            "telephone_number": "413-442-9421",
            "fax_number": "413-443-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "AMANDA",
        "middle_name": "N.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001423",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleyman William Haddad, RPH
• Brian A Hagan, M.D.
• Tracy Elizabeth Hagerty, M.D.
• Jennifer Street Hakkarainen, PA-C
• Fadi Halabi, M.D.
• Christine M Haley, LICSW
• Latiah Rae Haley, BSW
• Jane Ann Haling, LICSW
• Ariel M Hall, LICSW
• Lynn M Hall

• Optometrist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.