Individual provider Active NPI

Amanda Lynn Dawe, O.D.

  • Optometrist
  • Orange, CA
National Provider Identifier
1659302198
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12015 Issued in CA
Practice address
1031 W Chapman Ave Ste 203
Orange, CA 92868-2872
Phone
(714) 221-2020
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12015 CA Primary

Addresses

Primary practice location

1031 W Chapman Ave Ste 203
Orange, CA 92868-2872

Mailing address

201 N Wayfield St Apt 90
Orange, CA 92867-7677
Phone (714) 342-8796

Other names 1

  • Mrs. Amanda Lynn Dawe-Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12015CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1659302198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WAYFIELD ST APT 90",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677677",
            "telephone_number": "714-342-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W CHAPMAN AVE STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682872",
            "telephone_number": "714-221-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DAWE-SMITH",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.