Active NPI
Amanda A Whitbeck, OD
- Optometrist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG004038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG004038 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes on Randolph LLC | Optometrist | Past | 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.
-
- Optometrist
- Randolph, MA
- NPI 1861929598
-
- Optometrist
- Randolph, MA
- NPI 1043385412
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.