Individual provider Active NPI

Amanda Brette Fink, O.D.

  • Optometrist
  • Willingboro, NJ
National Provider Identifier
1891871687
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00556200 Issued in NJ
Practice address
42 Chalford LN
Willingboro, NJ 08046-3402
Phone
(609) 871-9666
Fax
(609) 871-9669
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00556200 NJ Primary

Addresses

Primary practice location

42 Chalford LN
Willingboro, NJ 08046-3402

Mailing address

42 Chalford LN
Willingboro, NJ 08046-3402
Phone (609) 871-9666

Other identifiers 1

IdentifierTypeStateIssuer
7776004MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050817000152 NJ Practitioner - Optometry 7810927159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burlington County Eye Physicians IIGroup PAC ID 7315956620, 13 clinicians

Practice addresses (Care Compare)

225 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 877-2800

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
96.32
Improvement activities
40
Cost
71.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00556200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site Eye Care Center PC Optometrist PastSince Sep 11, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: afink@bcep.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891871687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHALFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463402",
            "telephone_number": "609-871-9666",
            "fax_number": "609-871-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHALFORD LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463402",
            "telephone_number": "609-871-9666",
            "fax_number": "609-871-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "AMANDA",
        "middle_name": "BRETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00556200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7776004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.