Individual provider Active NPI

Amanda Kay Huston, O.D.

  • Pediatric Optometrist
  • Denver, CO
National Provider Identifier
1609118587
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OPT.0002960 Issued in CO
Practice address
2373 Central Park Blvd
Suite 102
Denver, CO 80238-2300
Phone
(303) 456-9456
Fax
(303) 463-7560
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OPT.0002960 CO Primary
Optometrist 152W00000X OPT.0002960 CO

Addresses

Primary practice location

2373 Central Park Blvd
Suite 102
Denver, CO 80238-2300

Mailing address

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942
Phone (303) 456-9456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20131121000539 CO Practitioner - Optometry 0941436901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Eye Physicians P.C.Group PAC ID 5890686158, 14 clinicians

Practice addresses (Care Compare)

2373 Central Park Blvd
Unit 102
Denver, CO 80238-2300
Phone (303) 597-1640

4875 Ward Rd
Wheat Ridge, CO 80033-1944
Phone (303) 456-9456

9094 E Mineral Cir
Suite 200
Centennial, CO 80112-7209
Phone (303) 488-0000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0002960COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Eye Physicians P.C. Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Children'S Eye Physicians P.C. Pediatrics CurrentSince Jul 1, 2013 Accepting new patients

Locations

9094 E Mineral Cir
Ste 250
Centennial, CO 80112

3464 S Willow St
Ste 410
Denver, CO 80231

2373 Central Park Blvd
Unit 102
Denver, CO 80238
Phone (303) 463-5792

2400 Village Vista Dr
Erie, CO 80516

4875 Ward Rd
Ste 600
Wheat Ridge, CO 80033

Interoperability endpoints

  • Direct secure messaging: amanda.huston.p1@direct.cepcolorado.nextgenshare.com

Organizations & group practices 2

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1609118587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331942",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "OPT.0002960",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.