Amanda Valle

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2829 Issued in MD

Practice address

5500 Buckeystown Pike Ste 620
Frederick, MD 21703-9458

Phone

(301) 663-4745

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment Care Compare group NPD
• Rockville Optometry, LLC

  • Optometrist
  • Rockville, MD
  • NPI 1548325798

  DC

  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • La Plata, MD
  • NPI 1407215676
  NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Silver Spring Optometry, LLC

  • Optometrist
  • Silver Spring, MD
  • NPI 1336204387
  NPD (past)
• My Eye Dr. Optometrists, LLC

  • Optometrist
  • Burke, VA
  • NPI 1356406581
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1770156580",
    "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": "5500 BUCKEYSTOWN PIKE STE 620",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217039458",
            "telephone_number": "301-663-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharathshiva V Valaiyaduppu Subas, MD, MBBS
• Laura A Valdes Borsum, MS, MA, LCPC
• Christian Valente, P.D.
• Margaret Mary Valentino, CSC-AD
• Liudmila Valentova
• Valley Chiropractic LLC
• Valley Wellness and Counseling, LLC
• Vama LLC
• Nomi Van Den Broeck, LMSW
• Elizabeth Anne Van Dermark, CRNP-A, WH

• Optometrist in Frederick, MD
• Providers in Frederick, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.

Verify at the official NPI Registry.