Individual provider Active NPI

Amanda Hale Cox, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1609071810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2611 Issued in TN
Practice address
4697 Poplar Ave
Memphis, TN 38117-4401
Phone
(901) 683-8226
NPI assigned
Jun 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2611 TN Primary

Addresses

Primary practice location

4697 Poplar Ave
Memphis, TN 38117-4401

Mailing address

8212 Scruggs Dr
Germantown, TN 38138-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130605000518 TN Practitioner - Optometry 9830337740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2611TNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Apr 12, 2014 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Apr 12, 2014 Accepting new patients
Memphis Optical Dispensary Inc Optometrist Past Accepting new patients
Christopher Andrew Clarke Optometrist Past Accepting new patients

Locations

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609071810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 SCRUGGS DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381386120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174401",
            "telephone_number": "901-683-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "AMANDA",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.