Individual provider Active NPI

Amit Makadia

  • Optometrist
  • Spokane, WA
National Provider Identifier
1831487156
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60223959 Issued in WA
Practice address
3150 E 27TH Ave Suite 100
Spokane, WA 99223
Phone
(509) 828-4561
Fax
(509) 228-8210
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60223959 WA Primary

Addresses

Primary practice location

3150 E 27TH Ave Suite 100
Spokane, WA 99223

Mailing address

2301 W Wellesley Ave
Spokane, WA 99205-5004

Other identifiers 1

IdentifierTypeStateIssuer
G8906517OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20120214000296 WA Practitioner - Optometry 5193982577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blink Eyecare PLLCGroup PAC ID 4981832847, 3 clinicians

Practice addresses (Care Compare)

3150 E 27TH Ave
Suite 100
Spokane, WA 99223-4919
Phone (509) 828-4561

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60223959WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blink Eyecare, PLLC Optometrist CurrentSince Nov 19, 2013 Accepting new patients

Locations

3150 E 27th Ave
#100
Spokane, WA 99223
Phone (509) 828-4561

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1831487156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 27TH AVE SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99223",
            "telephone_number": "509-828-4561",
            "fax_number": "509-228-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "AMIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60223959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8906517",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.