Individual provider Active NPI

Amanda C Nugent, OD

  • Optometrist
  • Jensen Beach, FL
National Provider Identifier
1750759775
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5137 Issued in FL
Practice address
3332 NW Federal Hwy
Jensen Beach, FL 34957-4402
Phone
(772) 692-4900
NPI assigned
Sep 8, 2015
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5137 FL Primary

Addresses

Primary practice location

3332 NW Federal Hwy
Jensen Beach, FL 34957-4402

Mailing address

3332 NW Federal Hwy
Jensen Beach, FL 34957-4402
Phone (772) 692-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161229000360 FL Practitioner - Optometry 3870874118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Suivski OD PAGroup PAC ID 6305916677, 3 clinicians

Practice addresses (Care Compare)

2341 SE Federal Hwy
Stuart, FL 34994-4528
Phone (772) 283-8813

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5137FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey D. Hixenbaugh, O.D., P.a. Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Charles Suivski OD PA Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Tamara L. Maule, O.D., P.a. Optometrist CurrentSince Feb 28, 2020 Accepting new patients
Schmidts Optical Inc PastSince Apr 23, 2024 Accepting new patients

Locations

8903 Glades Rd
Ste A1
Boca Raton, FL 33434
Phone (561) 477-3524

3101 Pga Blvd
Ste A101
Palm Beach Gardens, FL 33410
Phone (561) 627-8185

2341 SE Federal Hwy
Stuart, FL 34994
Phone (772) 283-4240

Organizations & group practices 5

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1750759775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574402",
            "telephone_number": "772-692-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574402",
            "telephone_number": "772-692-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

Verify at the official NPI Registry.