Active NPI
Amanda Leigh Brown, O.D.
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4100
- Practice address
- 9525 Crosshill Blvd
Jacksonville, FL 32222-5812 - Phone
- (904) 573-9482
- Fax
- (904) 573-9945
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPC4100 | FL | |
| Optometrist | 152W00000X | OPC4100 | FL | Primary |
Addresses
Primary practice location
9525 Crosshill Blvd
Jacksonville, FL 32222-5812
Mailing address
30 Tavernier Dr Unit C
Ponte Vedra, FL 32081-0677
Phone (904) 686-2897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Tavernier Dr
Unit C
Ponte Vedra, FL 32081-0677
Phone (904) 356-9431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4100 | FL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Vision Care, PA | Optometrist | Current | Accepting new patients |
| Frank a Broome Jr O.D. | Optometrist | Past | Accepting new patients |
Locations
201 N Hogan St
Ste 100
Jacksonville, FL 32202
Phone (904) 356-9431
5255 Dunn Ave
Jacksonville, FL 32218
Phone (904) 751-6211
30 Tavernier Dr
Ste C
Ponte Vedra, FL 32081
Phone (904) 356-9431
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
- Jacksonville, FL
- NPI 1609104637
-
- Optometrist
- Orange City, FL
- NPI 1427228832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1508809559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TAVERNIER DR UNIT C",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320810677",
"telephone_number": "904-686-2897",
"fax_number": "904-834-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 CROSSHILL BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322225812",
"telephone_number": "904-573-9482",
"fax_number": "904-573-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC4100",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.