Individual provider Active NPI

Amanda K Hoelscher, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1508874520
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04827TG Issued in TX
Practice address
2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399
Phone
(214) 754-0000
Fax
(214) 379-1849
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04827TG TX Primary

Addresses

Primary practice location

2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399

Mailing address

11442 N Central Expy
Dallas, TX 75243-6602
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
045250002MedicaidTX

Other names 1

  • Amanda K Kubon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahoelscher@keywhitman.imwdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080215000330 TX Practitioner - Optometry 2466535356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

11442 N Central Expy
Key Whitman Eye Center
Dallas, TX 75243-6602
Phone (214) 754-0000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04827TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Optometrist CurrentSince Aug 1, 2008 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Aug 1, 2008 Accepting new patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
Harvey L Carter III MD PA PastSince Jan 19, 1994 Accepting new patients

Locations

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

Interoperability endpoints

  • Direct secure messaging: ahoelscher@kwec.intellechartdirect.net

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1508874520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436602",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELSCHER",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04827TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045250002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahoelscher@keywhitman.imwdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11442 N Central Expy",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752436602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KUBON",
            "middle_name": "K",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.