Amber Dawn Prins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100405 Issued in ID

Practice address

514 Oak St
Sandpoint, ID 83864-1480

Phone

(208) 265-7965

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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.

• Eye Care for You

  • Optometrist
  • Sandpoint, ID
  • NPI 1710042353

  ID, Optometrist

  Medicare reassignment Care Compare group NPD
• Mountain Vision Eye Care

  • Optometrist
  • Sandpoint, ID
  • NPI 1225227879
  NPD (past)
• Spec-Techs

  • Optometrist
  • Sandpoint, ID
  • NPI 1790485431
  NPD (past)

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care for You 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659801181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-597-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6348 Main St",
            "address_purpose": "LOCATION",
            "city": "Bonners Ferry",
            "state": "ID",
            "postal_code": "838058519",
            "country_code": "US",
            "telephone_number": "208-267-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINS",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Porter, R PH PHARM D
• Robyn Poupart
• Robert Monroe Poutre, PA-C
• Julie A Price, MPT
• Mauria Prince, RPH
• Gregory Jon Anthony Prins, DMD
• Providence Health & Services
• Psychological Consultants, PC
• Steven C Puffer, M.D.
• Jeffrey Pufnock, L.AC.

• All providers in Sandpoint, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.