Individual provider Active NPI

Amber Gatti Dunn, O.D.

  • Optometrist
  • King City, OR
National Provider Identifier
1679883854
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3510ATI Issued in OR
Practice address
15405 SW 116TH Ave
Unit 204
King City, OR 97224-2600
Phone
(971) 371-3927
NPI assigned
Oct 20, 2010
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3510ATI OR Primary

Addresses

Primary practice location

15405 SW 116TH Ave
Unit 204
King City, OR 97224-2600

Mailing address

15405 SW 116TH Ave
Unit 204
King City, OR 97224
Phone (971) 371-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20140108001302 OR Practitioner - Optometry 5890923320 Reassigns benefits to 1 organization
Practice locations: King City, OR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15405 SW 116TH Ave
Suite 204
King City, OR 97224-4101
Phone (971) 271-3927

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3510ATIORMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1679883854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE",
            "address_2": "UNIT 204",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "971-371-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE",
            "address_2": "UNIT 204",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242600",
            "telephone_number": "971-371-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "AMBER",
        "middle_name": "GATTI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3510ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, OR

Sources for this page

Verify at the official NPI Registry.