Individual provider Active NPI

Amanda Rickher, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1639623853
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2477 Issued in NC
Practice address
15640 Don Lochman LN Ste C
Charlotte, NC 28277-4442
Phone
(704) 943-5110
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2477 NC Primary

Addresses

Primary practice location

15640 Don Lochman LN Ste C
Charlotte, NC 28277-4442

Mailing address

15640 Don Lochman Lane
Ste C
Charlotte, NC 28277

Other practice location 1

1601 Brenner Ave
Building 3, Second Floor
Salisbury, NC 28144-2515
Phone (704) 638-9000 ext. 5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171018000804 NC Practitioner - Optometry 1456627504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Leblanc OD PLLCGroup PAC ID 4981014164, 19 clinicians

Practice addresses (Care Compare)

1130 S Main St
Kernersville, NC 27284-7480
Phone (336) 996-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Leblanc OD PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
W.G. (Bill) Hefner VA Medical Center Past Accepting new patients

Locations

7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305

150 Concord Commons Pl SW
Concord, NC 28027
Phone (704) 720-7363

2420 Supercenter Dr NE
Kannapolis, NC 28083
Phone (704) 786-9200

1130 S Main St
Kernersville, NC 27284
Phone (336) 992-0879

1116 Crossroads Dr
Statesville, NC 28625
Phone (704) 871-9824

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639623853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 DON LOCHMAN LANE",
            "address_2": "STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 DON LOCHMAN LN STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774442",
            "telephone_number": "704-943-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Brenner Ave",
            "address_2": "Building 3, Second Floor",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442515",
            "country_code": "US",
            "telephone_number": "704-638-9000 x5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKHER",
        "first_name": "AMANDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.