Kristin Alyse Amabile, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007401 Issued in NY

Practice address

2064 Seneca St
Buffalo, NY 14210-2343

Phone

(716) 822-1515

Fax

(716) 393-3839

NPI assigned

Jun 25, 2009

Last updated

Jan 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson and Amabile OD, PLLCGroup PAC ID 9234381443, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson & Amabile OD, PLLC

  • Optometrist
  • Buffalo, NY
  • NPI 1194071290
  Medicare reassignment Care Compare group NPD Authorized official
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1811125180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOX TRCE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863072",
            "telephone_number": "716-435-4010",
            "fax_number": "716-393-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102343",
            "telephone_number": "716-822-1515",
            "fax_number": "716-393-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMABILE",
        "first_name": "KRISTIN",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03122534",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Alviti, LMSW
• Shorouk Alwahsh
• Linda Alzarif, MSW
• Am-Clar Optical, Inc (Sterling Optical)
• Aaron Anthony Amabile, OPTHALMIC DISPENSER
• Osamudia Amadasu, LMHC
• Amak Health Care Agency Inc
• Amak Health Care Agency,Inc.
• Amal D. Mardini, DC PLLC
• Amana Pharmacy Inc (Rahma Pharmacy)

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.