Active NPI
Amanda Richards Lakusta, MD
- Ophthalmology Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C154815
- Practice address
- 112 N Akers St Ste a
Visalia, CA 93291-5121 - Phone
- (559) 733-4372
- Fax
- (559) 733-1758
- NPI assigned
- Apr 30, 2007
- Last updated
- Aug 15, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101254763 | VA | |
| Ophthalmology Physician | 207W00000X | D79626 | MD | |
| Ophthalmology Physician | 207W00000X | C154815 | CA | Primary |
Addresses
Primary practice location
112 N Akers St Ste a
Visalia, CA 93291-5121
Mailing address
112 N Akers St Ste a
Visalia, CA 93291-5121
Phone (559) 733-4372
Other names 1
- Amanda B Richards
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Sanford School of Medicine of University of South Dakota, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 N Akers St
Suite a
Visalia, CA 93291-5121
Phone (559) 733-4372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C154815 | CA | MD | Ophthalmology Physician |
| 0101254763 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visalia Eye Center, Inc. | Ophthalmology | Current | Accepting new patients |
| Sentara Hospitals | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| St Marys Hospital of St Marys County Inc | Past | Accepting new patients |
Locations
112 N Akers St
Visalia, CA 93291
Phone (559) 733-4372
112 N Akers St
Ste A
Visalia, CA 93291
Phone (559) 733-4372
Organizations & group practices 5
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.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1528288669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N AKERS ST STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915121",
"telephone_number": "559-733-4372",
"fax_number": "559-733-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N AKERS ST STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915121",
"telephone_number": "559-733-4372",
"fax_number": "559-733-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKUSTA",
"first_name": "AMANDA",
"middle_name": "RICHARDS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101254763",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D79626",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C154815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RICHARDS",
"middle_name": "B",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.