Amanda Renee Bender, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002386 Issued in PA

Practice address

332 4TH St
Freeport, PA 16229-1130

Phone

(724) 295-5127

Fax

(724) 295-5130

NPI assigned

Jul 26, 2010

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

Other names 1

• Amanda Renee Beresik Former name

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Eye Care Center, Inc 2 clinicians

Leechburg Eye Care Center, Inc. 3 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 and National Provider Directory roles.

• Freeport Eye Care Center, Inc

  • Optometrist
  • Freeport, PA
  • NPI 1265708614
  Medicare reassignment Care Compare group NPD
• Leechburg Eye Care Center, Inc.

  • Optometrist
  • Leechburg, PA
  • NPI 1346516796
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1821301334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 4TH ST",
            "city": "FREEPORT",
            "state": "PA",
            "postal_code": "162291130",
            "telephone_number": "724-295-5127",
            "fax_number": "724-295-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 4TH ST",
            "city": "FREEPORT",
            "state": "PA",
            "postal_code": "162291130",
            "telephone_number": "724-295-5127",
            "fax_number": "724-295-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BERESIK",
            "middle_name": "RENEE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregg F Brady, D.C.
• Caden Fajbik
• Rebecca Duke-Walker, LPC, CAADC,
• Estate of Cecil D Furer OD
• Robert M Fair, D.C.

• All providers in Freeport, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.