Amanda Putorek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3056-IOD Issued in WV

Practice address

324 Oakvale Rd Ste 100
Princeton, WV 24740-3829

Phone

(304) 425-2444

Fax

(304) 425-2446

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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 VA, WV2 enrollments

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 2

Specialty

Optometry

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

New River Eye Care Family Optometry PCGroup PAC ID 7618152950, 5 clinicians

Appalachian Eye Care IncGroup PAC ID 1951588730, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Appalachian Eye Care Inc

  • Optometrist
  • Princeton, WV
  • NPI 1548551336
  Medicare reassignment Care Compare group NPD
• New River Eye Care Family Optometry PC

  • Optometrist
  • Pearisburg, VA
  • NPI 1750672622
  Medicare reassignment Care Compare group NPD
• New River Eye Care

  • Optometrist
  • Pearisburg, VA
  • NPI 1134319593
  NPD (past)
• Vistar Eye Center, Inc

  • Eyewear Supplier
  • Roanoke, VA
  • NPI 1265128037

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1811884711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 100",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-425-2444",
            "fax_number": "304-425-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD STE 100",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-425-2444",
            "fax_number": "304-425-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTOREK",
        "first_name": "AMANDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "3056-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jean Proffitt
• Robin Lynn Pruitt
• Kelsey Puckett
• Kiera Pugalee
• Kristy Pustovarh
• John Louis Putorek
• Barbara Pyles
• Kathy Quesenberry
• Alyssa Quillian
• Sandra R Radford

• Optometrist in Princeton, WV
• Providers in Princeton, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.