Amanda Hickman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1603-636T Issued in LA

Practice address

1107 Village Walk
Covington, LA 70433-4006

Phone

(985) 231-0800

Fax

(985) 590-3721

NPI assigned

Aug 4, 2010

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Tammany Eye Care LLCGroup PAC ID 6901171131, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• St. Tammany Eye Care LLC

  • Optometrist
  • Covington, LA
  • NPI 1689107062
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1811201635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 VILLAGE WALK",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334006",
            "telephone_number": "985-231-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 VILLAGE WALK",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334006",
            "telephone_number": "985-231-0800",
            "fax_number": "985-590-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1603-636T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula B. Hess, MCD, CCC-SLP
• Sarah E Hess, LCSW
• Kimberly Lauren Hetherington, M.A.
• Elizabeth Hewitt
• HHL Therapy Centers, LLC
• Brandie J Hicks
• Lisa P Hidalgo, LCSW-CPRP
• Highgate Apothecary-101 LLC
• Michael Kevin Hill, MD
• Dondra Hills

• Optometrist in Covington, LA
• Providers in Covington, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.