Individual provider Active NPI

Amanda Ehrgood-Perry, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1801100987
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002342 Issued in PA
Practice address
601 Walnut St Ste 210W
Philadelphia, PA 19106-3323
Phone
(215) 925-6402
Fax
(215) 925-0262
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 OEG002342 PA Primary

Addresses

Primary practice location

601 Walnut St Ste 210W
Philadelphia, PA 19106-3323

Mailing address

601 Walnut St Ste 210W
Philadelphia, PA 19106-3323
Phone (215) 925-6402

Other practice location 1

50 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

Other identifiers 1

IdentifierTypeStateIssuer
102529106MedicaidPA

Other names 1

  • Dr. Amanda Ehrgood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101119000353 PA Practitioner - Optometry 2961698725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kay and Tabas OphthalmologyGroup PAC ID 7315848991, 9 clinicians

Practice addresses (Care Compare)

50 Monument Rd
Suite 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
93.76
Promoting interoperability
93
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kay & Tabas Ophthalmology Associates Optometrist CurrentSince Aug 22, 2016 Accepting new patients
Vantage Eyecare, LLC PastSince Sep 6, 2020 Accepting new patients

Locations

50 Monument Rd
Ste 110
Bala Cynwyd, PA 19004
Phone (610) 667-6760

601 Walnut St W
Philadelphia, PA 19106
Phone (215) 629-1866

170 S Independence Mall W
Ste 210W
Philadelphia, PA 19106
Phone (215) 925-6402

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801100987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST STE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST STE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Monument Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041706",
            "country_code": "US",
            "telephone_number": "610-667-6760",
            "fax_number": "610-667-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHRGOOD-PERRY",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102529106",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "EHRGOOD",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.