Amber Hurley McCulley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002147 Issued in VA

Practice address

284 Ben Bolt Ave
Tazewell, VA 24651-5384

Phone

(276) 385-1940

Fax

(276) 385-1939

NPI assigned

Jun 13, 2012

Last updated

May 26, 2021By the provider in NPPES

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

Other names 1

• Amber Hurley Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

University Alabama Birmingham - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearsight Eye Care Amber Hurley OD PLLCGroup PAC ID 4183012081, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearsight Eye Care Amber Hurley OD PLLC

  • Optometrist
  • Tazewell, VA
  • NPI 1235726993
  Medicare reassignment Care Compare group NPD Authorized official
• Gordon W. Jennings OD PC

  • Optometrist
  • Wytheville, VA
  • NPI 1669535050
  Medicare reassignment NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1881956142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515384",
            "telephone_number": "276-202-0616",
            "fax_number": "276-385-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515384",
            "telephone_number": "276-385-1940",
            "fax_number": "276-385-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 W Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241533610",
            "country_code": "US",
            "telephone_number": "540-855-5139 x4606",
            "fax_number": "540-342-4373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "AMBER",
        "middle_name": "HURLEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@clearsightswva.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "284 Ben Bolt Ave",
            "city": "Tazewell",
            "state": "VA",
            "country_code": "US",
            "postal_code": "246515384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HURLEY",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erich Lutz
• Megan Lutz, D.D.S.
• Steven Davis Lutz, D.D.S.
• Steven Davis Lutz II, DDS
• Ricky Alan May Jr., D.D.S.
• Merit Medical RHC Tazewell Inc
• Broc Douglas Miller
• Thomas Edward Miller, M.D.
• Abigail Joy Mitchell, OD
• Amy Mitchell

• Optometrist in Tazewell, VA
• Providers in Tazewell, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.