Active NPI
Amber Gatti Dunn, O.D.
- Optometrist
- King City, OR
National Provider Identifier
1679883854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3510ATI
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3510ATI | OR | MD | Optometrist |
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
- John Roderick Chessar, DDS
- Loretta N. Claus, L.M.T
- Conciergehealth, LLC (99W Urgent Care and Health Center)
- Kimberley W Dotson
- Anthony Dramov, PHARMD
- Gatti Vision LLC (Gatti Vision)
- Wiebke Gerlach-Jacobs
- Hearing Healthcare Professionals of Oregon, LLC (Sonus SF 0011)
- J Mac Drug Inc (McCanns Pharmacy)
- J Mac Drug Inc (McCanns Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.