Amber A. Dentz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2878-035 Issued in WI

Practice address

520 Hartbrook Dr
Hartland, WI 53029-1405

Phone

(262) 367-6610

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Country Eye Care LLCGroup PAC ID 1254654742, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Country Eye Care, LLC

  • Optometrist
  • Hartland, WI
  • NPI 1457757288
  Medicare reassignment Care Compare group NPD Authorized official
• Meadowbrook Eyecare

  • Optometrist
  • Waukesha, WI
  • NPI 1205607025
  NPD
• Stein Optical Inc.

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)
• Vision Mart Inc

  • Optician
  • Milwaukee, WI
  • NPI 1366491227

  Optometrist

  NPD (past)
• Vision Mart, Inc

  • Optician
  • Milwaukee, WI
  • NPI 1184753352
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1548339096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291405",
            "telephone_number": "262-370-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291405",
            "telephone_number": "262-367-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTZ",
        "first_name": "AMBER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2878-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38614100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky Conner, PHARMACIST
• Estefania Cruz, DC
• Amy Curry, M.S., CCC-SLP
• Dawn Marie D'Amico, LCSW, PHD
• Karen Elizabeth Darga, MT-BC, WMTR
• Thomas M Derrig, MD
• Nila Rose Devi, RN
• Mary Ellen Devine Touhey, RN MSN FNP
• Nancy Ann Dexter - Schabow, MT-BC, WMTR
• Jacqueline Edwina Dombrowski, MSW, LCSW, CMT

• Optometrist in Hartland, WI
• Providers in Hartland, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.

Verify at the official NPI Registry.