Amy M Fernandez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5312 Issued in OH

Practice address

3583 Reserve Commons Dr
Medina, OH 44256-8180

Phone

(330) 722-8300

Fax

(330) 725-0445

NPI assigned

May 13, 2006

Sex

Female

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 OH

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

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Eye Care Consultants, LLCGroup PAC ID 8820010614, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as group

Quality

93.32

Promoting interoperability

100

Improvement activities

40

Cost

76.06

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 and National Provider Directory roles.

• Ohio Eye Care Consultants, LLC

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1568581965

  Optometrist

  Medicare reassignment Care Compare group NPD
• Ohio Eye Care Consultants, LLC

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1336740570

  Optometrist

  NPD
• Ashland Eyecare Inc

  • Optometrist
  • Ashland, OH
  • NPI 1073591541
  NPD (past)
• Eye Care of Medina Inc

  • Optometrist
  • Medina, OH
  • NPI 1669429692
  NPD (past)
• Ohio Eye Care Consultants, LLC

  • Customized Equipment (DME)
  • Medina, OH
  • NPI 1053361147
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1952352015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568180",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568180",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332667",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000391034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ferrell-Whited Physical Therapy Services,Inc
• Melinda G Ferrell, PT
• Susan Ann Fetzer, LPN

• Optometrist in Medina, OH
• Providers in Medina, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.