Individual provider Active NPI

Amanda Wels Hikin, O.D.

  • Optometrist
  • Santa Monica, CA
National Provider Identifier
1457639213
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14179 Issued in CA
Practice address
1234 7TH Street
Suite 2
Santa Monica, CA 90403
Phone
(310) 395-5778
NPI assigned
Jul 28, 2011
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14179 CA Primary

Addresses

Primary practice location

1234 7TH Street
Suite 2
Santa Monica, CA 90403

Mailing address

1234 7TH Street
Suite 2
Santa Monica, CA 90403
Phone (310) 395-5778

Other names 1

  • Amanda Wels Orgel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140808000272 CA Practitioner - Optometry 2466679873 Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14179CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Watt Kurata, OD Faao an Optometric Corporation Optometrist PastSince Jun 2, 2014 Accepting new patients
Vipal Gandhi O.D. Inc Optometrist PastSince Jul 25, 2021 Accepting new patients

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1457639213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 7TH STREET",
            "address_2": "SUITE 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-395-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 7TH STREET",
            "address_2": "SUITE 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-395-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIKIN",
        "first_name": "AMANDA",
        "middle_name": "WELS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ORGEL",
            "middle_name": "WELS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.