Active NPI
Amanda Coleen Hassey, OD
- Optometrist
- Plymouth Meeting, PA
National Provider Identifier
1578947289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003064
- Practice address
- 615 W Germantown Pike # 100
Plymouth Meeting, PA 19462 - Phone
- (610) 397-8615
- NPI assigned
- Jul 13, 2015
- 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 | OEG003064 | PA | Primary |
Addresses
Primary practice location
615 W Germantown Pike # 100
Plymouth Meeting, PA 19462
Mailing address
12 Colonial Dr
Newtown, PA 18940-1102
Phone (215) 298-2694
Other practice location 1
8401 Bustleton Ave
Philadelphia, PA 19152-1901
Phone (215) 745-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13584914 | Other | PA | CAQH NUMBER |
Other names 1
- Amanda Coleen Pallister
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003064 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1578947289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COLONIAL DR",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401102",
"telephone_number": "215-298-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W GERMANTOWN PIKE # 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-397-8615"
}
],
"practiceLocations": [
{
"address_1": "8401 Bustleton Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191521901",
"country_code": "US",
"telephone_number": "215-745-5050",
"fax_number": "215-342-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSEY",
"first_name": "AMANDA",
"middle_name": "COLEEN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "13584914",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "PALLISTER",
"middle_name": "COLEEN",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.