Individual provider Active NPI

Amanda A Whitbeck, OD

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1508544818
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004038 Issued in PA
Practice address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone
(302) 994-2511
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004038 PA Primary

Addresses

Primary practice location

1601 Kirkwood Hwy
Wilmington, DE 19805-4917

Mailing address

2414 N Ridgeside Cir
Wichita, KS 67205-1331
Phone (316) 712-1316

Other practice location 1

622 George Washington Hwy
Lincoln, RI 02865-4273
Phone (401) 333-0550

Other practice location 2

1255 Oaklawn Ave
Cranston, RI 02920-2649
Phone (401) 463-6054

Other practice location 3

488 Pleasant St
Worcester, MA 01609-1857
Phone (508) 756-6832

Other practice location 4

1157 N Main St
Randolph, MA 02368-2135
Phone (781) 963-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OEG004038PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Randolph LLC Optometrist PastSince Jun 1, 2023 Accepting new patients
Personal Eyes Inc Optometrist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1508544818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 N RIDGESIDE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051331",
            "telephone_number": "316-712-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054917",
            "telephone_number": "302-994-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 George Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654273",
            "country_code": "US",
            "telephone_number": "401-333-0550",
            "fax_number": "401-312-0083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Oaklawn Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029202649",
            "country_code": "US",
            "telephone_number": "401-463-6054",
            "fax_number": "401-463-7794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "488 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016091857",
            "country_code": "US",
            "telephone_number": "508-756-6832",
            "fax_number": "508-756-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1157 N Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023682135",
            "country_code": "US",
            "telephone_number": "781-963-2333",
            "fax_number": "781-961-5713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBECK",
        "first_name": "AMANDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.