Individual provider Active NPI

Amanda Hok Lay, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1780467225
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011762 Issued in IL
Practice address
3432 N Southport Ave
Chicago, IL 60657-8289
Phone
(773) 432-4956
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011762 IL Primary

Addresses

Primary practice location

3432 N Southport Ave
Chicago, IL 60657-8289

Mailing address

3432 N Southport Ave
Chicago, IL 60657-8289
Phone (773) 432-4956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240404003812 IL Practitioner - Optometry 3870931132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HTNB LLCGroup PAC ID 8729241088, 4 clinicians

Practice addresses (Care Compare)

14 S Peoria St
Chicago, IL 60607-2628
Phone (312) 432-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Artisan Eyecare, LLC Optometrist CurrentSince Mar 25, 2024 Accepting new patients
HTNB LLC Optometrist CurrentSince Mar 25, 2024 Accepting new patients
NBHT Indiana Optometrist CurrentSince Mar 25, 2024 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 17, 2026 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

14 S Peoria St
Chicago, IL 60607
Phone (312) 432-0080

3053 N Sheffield Ave
Chicago, IL 60657
Phone (773) 360-8900

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

942 W Madison St
Chicago, IL 60607
Phone (312) 829-6800

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1780467225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578289",
            "telephone_number": "773-432-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578289",
            "telephone_number": "773-432-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "AMANDA",
        "middle_name": "HOK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.