Individual provider Active NPI

Amy M Neal, OD

  • Optometrist
  • Hawley, PA
National Provider Identifier
1851480750
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000398 Issued in PA
Practice address
74 Welwood Ave
Suite 102
Hawley, PA 18428-1577
Phone
(570) 226-1300
Fax
(570) 226-3800
NPI assigned
Oct 11, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000398 PA Primary

Addresses

Primary practice location

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577

Mailing address

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577
Phone (570) 226-1300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050203000246 PA Practitioner - Optometry 7113978578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577
Phone (570) 226-1300

Merit-based Incentive Payment System (MIPS)

Final score
39.52 of 100Reported as individual
Quality
44.58
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000398PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care Associates, PC Optometrist CurrentSince Jul 15, 2002 Accepting new patients
Twin Tiers Eye Care Associates PC Optometrist Past Accepting new patients

Locations

74 Welwood Ave
Ste 102
Hawley, PA 18428
Phone (570) 226-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1851480750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-1300",
            "fax_number": "570-226-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-1300",
            "fax_number": "570-226-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

Verify at the official NPI Registry.