Amanda Kay Pickens

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OP.015504-SC Issued in OH

Practice address

8659 Columbus Pike
Lewis Center, OH 43035-9699

Phone

(740) 657-1301

Fax

(740) 657-8442

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1629776364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8659 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359699",
            "telephone_number": "740-657-1301",
            "fax_number": "740-657-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8659 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359699",
            "telephone_number": "740-657-1301",
            "fax_number": "740-657-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1546 Marion Mount Gilead Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433025894",
            "country_code": "US",
            "telephone_number": "740-389-5339",
            "fax_number": "740-389-4835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.015504-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.