Amanda Jeanne Horrocks Cushing, OD
Individual provider Active NPI Optometrist · Hurricane, UT
NPI 1699342691 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1699342691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 12298268-9934 (UT)
- Practice address
- 20 S 850 W Ste 3
Hurricane, UT 84737-3393 - Phone
- (435) 635-7766
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hurricane Valley Eye Care, PC
Practice addresses (Care Compare)
20 S 850
Suite 3
Hurricane, UT 84737-3393
Phone (435) 635-7766
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210616000845 | UT | Practitioner - Optometry | 6406256296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12298268-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurricane Valley Eye Care PC | Optometrist | Current |
Accepting new patients |
| Southern Utah Eye Care Inc | Optometrist | Past |
Accepting new patients |
Locations
20 S 850 W
Ste 3
Hurricane, UT 84737
Phone (435) 635-7766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12298268-9934 | UT | Yes |
Addresses
Primary practice location
20 S 850 W Ste 3
Hurricane, UT 84737-3393
Mailing address
20 S 850 W Ste 3
Hurricane, UT 84737-3393
Phone (435) 635-7766
Other providers in Hurricane, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.