Grant C Amstutz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003059A Issued in IN

Practice address

31 Bobby Bland Way
Leitchfield, KY 42754-1744

Phone

(270) 259-0500

Fax

(270) 259-0079

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Indiana University - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abney Eye Center, PLLCGroup PAC ID 4587759287, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gamstutz.keca@direct.ocuhub.com

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.

• Abney Eye Center, PLLC

  • Optometrist
  • Leitchfield, KY
  • NPI 1730373044

  KY, Optometrist

  Medicare reassignment Care Compare group NPD
• Louisville Optometric Centers III, PSC

  • Optometrist
  • Louisville, KY
  • NPI 1134111271
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1902898547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BOBBY BLAND WAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541744",
            "telephone_number": "270-259-0500",
            "fax_number": "270-259-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BOBBY BLAND WAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541744",
            "telephone_number": "270-259-0500",
            "fax_number": "270-259-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSTUTZ",
        "first_name": "GRANT",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003059A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200917980",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "248880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ack Healthcare Management LLC
• Ack Healthcare Management LLC
• Chloe Adams, RPH
• Gerald Patrick Adamson, DMIN
• Abigale Taylor Alexander
• Donald R Anderson, RPH
• Victor R Angeles, MD
• Associates in Counseling
• Ataraxia Integrated Medicine and Wellness Corporation
• Cara Atwood

• All providers in Leitchfield, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.