Individual provider Active NPI

Amanda Baltazar Sezer, OD

  • Optometrist
  • Northampton, MA
National Provider Identifier
1760006431
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5433 Issued in MA
Practice address
274 Pleasant St
Northampton, MA 01060-3992
Phone
(413) 584-6616
Fax
(413) 584-1951
NPI assigned
May 29, 2020
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 5433 MA Primary

Addresses

Primary practice location

274 Pleasant St
Northampton, MA 01060-3992

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201123000919 MA Practitioner - Optometry 8921419078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Baltazar Eye Care PCGroup PAC ID 2860879558, 3 clinicians

Practice addresses (Care Compare)

113 Ctr St
Chicopee, MA 01013-1667
Phone (413) 592-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5433MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltazar Eye Care, PC Optometrist CurrentSince May 6, 2022 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 20, 2020 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 20, 2020 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

113 Center St
Chicopee, MA 01013
Phone (413) 592-7777

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1760006431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603992",
            "telephone_number": "413-584-6616",
            "fax_number": "413-584-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAZAR SEZER",
        "first_name": "AMANDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.