Individual provider Active NPI

Amanda Michelle Parreira, O.D.

  • Optometrist
  • San Luis Obispo, CA
National Provider Identifier
1619948809
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11202T Issued in CA
Practice address
894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722
Phone
(805) 543-6632
Fax
(805) 543-6863
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11202T CA Primary

Addresses

Primary practice location

894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722

Mailing address

894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1722
Phone (805) 543-6632

Other identifiers 1

IdentifierTypeStateIssuer
SD0112020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100303000703 CA Practitioner - Optometry 3577608496 Practice locations: San Luis Obispo, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

894 Meinecke Ave
Suite a
San Luis Obispo, CA 93405-1790

894 Meinecke Ave a
San Luis Obispo, CA 93405-1790
Phone (805) 543-6632

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11202TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Michelle Parreira PastSince Jan 1, 1990 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1619948809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 MEINECKE AVE",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051722",
            "telephone_number": "805-543-6632",
            "fax_number": "805-543-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 MEINECKE AVE",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051722",
            "telephone_number": "805-543-6632",
            "fax_number": "805-543-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARREIRA",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11202T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.