Active NPI
Amanda Ehrgood-Perry, O.D.
- Optometrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002342
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102529106 | Medicaid | PA |
Other names 1
- Dr. Amanda Ehrgood
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
Enrollment records 1
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
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 100
- Quality
- 93.76
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kay & Tabas Ophthalmology Associates | Optometrist | Current | Accepting new patients |
| Vantage Eyecare, LLC | Past | 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.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1386647105
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Bala Cynwyd, PA
- NPI 1023580131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.