Individual provider Active NPI

Amanda C Stebbins, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1912018755
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC004107 Issued in FL
Practice address
7335 W Sand Lake Rd
Suite 119
Orlando, FL 32819-5538
Phone
(407) 409-8123
Fax
(407) 409-8124
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC004107 FL Primary
Optometrist 152W00000X 2494 CO

Addresses

Primary practice location

7335 W Sand Lake Rd
Suite 119
Orlando, FL 32819-5538

Mailing address

7335 W Sand Lake Rd
Suite 119
Orlando, FL 32819-5538
Phone (407) 409-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100527000595 FL Practitioner - Optometry 4880723949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7335 W Sand Lake Rd
Suite 119
Orlando, FL 32819-5539
Phone (407) 409-8123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2494COMDProfessional Counselor
OPC004107FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Stebbins, OD, PA Optometrist CurrentSince Jan 20, 2010 Accepting new patients

Locations

7335 W Sand Lake Rd
Ste 119
Orlando, FL 32819
Phone (407) 409-8123

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1912018755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD",
            "address_2": "SUITE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195538",
            "telephone_number": "407-409-8123",
            "fax_number": "407-409-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD",
            "address_2": "SUITE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195538",
            "telephone_number": "407-409-8123",
            "fax_number": "407-409-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004107",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.