Wythe Eye Associates Amanda Brewer-Smith OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000743 Issued in VA

Legal business name

WYTHE EYE ASSOCIATES AMANDA BREWER-SMITH OD INC

Practice address

530 W Ridge Rd
Wytheville, VA 24382-1188

Phone

(276) 223-0033

Fax

(276) 223-0327

NPI assigned

Dec 27, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Brewer Lord, ODNPI 1679560254

Title

Optometrist

Phone

(276) 223-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Brewer-Lord, O.D.

  • Optometrist
  • Wytheville, VA
  • NPI 1679560254
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Elizabeth Anderson, OD

  • Optometrist
  • Wytheville, VA
  • NPI 1326569393
  Medicare reassignment Care Compare group NPD
• Cynthia Dawn Inman, O.D.

  • Optometrist
  • Wytheville, VA
  • NPI 1215950472
  Medicare reassignment Care Compare group NPD
• Stephen Fredrick Lord, OD

  • Optometrist
  • Wytheville, VA
  • NPI 1326092032
  Medicare reassignment Care Compare group NPD
• Alexandra E Schwab, OD

  • Optometrist
  • Wytheville, VA
  • NPI 1568958957
  Medicare reassignment Care Compare group NPD
• Jonathan Keen, OD

  • Optometrist
  • Lebanon, VA
  • NPI 1013674597
  Medicare reassignment NPD
• Amy Dee-Lyte Buchanan Keene, O.D.

  • Optometrist
  • Dobson, NC
  • NPI 1114295789

  VA

  Medicare reassignment NPD
• John Michael Dovie, O.D.

  • Optometrist
  • Blacksburg, VA
  • NPI 1669442844
  NPD (past)
• Melissa Dawn Farley, O.D.

  • Optometrist
  • Fairlawn, VA
  • NPI 1144482084
  NPD (past)
• Paige Kerrigan Smith, OD

  • Optometrist
  • Bluefield, VA
  • NPI 1649167974
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1598820680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243820914",
            "telephone_number": "276-223-0033",
            "fax_number": "276-223-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821188",
            "telephone_number": "276-223-0033",
            "fax_number": "276-223-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHE EYE ASSOCIATES AMANDA BREWER-SMITH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "BREWER LORD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "276-223-0033",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010298458",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wythe County Physician Practices LLC (Wythe Physician Practices - First Choice Family Care)
• Wythe County Physician Practices LLC
• Wythe County Public Schools
• Wythe County Rescue Squad Inc (Wythe County Rescue Squad)
• Wythe Ear, Nose, & Throat, P.C.
• Wythe Family Dentistry
• Wythe Gastroenterlogy
• Wythe Medical Associates, Inc
• Wythe Physicians for Women, PLLC (Wythe Physicians For Women)
• Wythe Surgical Associates, Inc

• Optometrist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.