Amy Lynn Wardell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0061311 Issued in NY

Practice address

131 Main St Ste 202
Oneida, NY 13421-1641

Phone

(315) 363-4942

Fax

(315) 363-4441

NPI assigned

Mar 17, 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 names 1

• Mrs. Amy Anderson Other name

Medicare fee-for-service enrollment

Enrolled in NY

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Costello Sr - Allen Optometrists PLLCGroup PAC ID 1951451442, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as group

Quality

66.65

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Costello Sr - Allen Optometrists PLLC

  • Optometrist
  • Oneida, NY
  • NPI 1770720468
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1952360166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 202",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211641",
            "telephone_number": "315-363-4942",
            "fax_number": "315-363-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 202",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211641",
            "telephone_number": "315-363-4942",
            "fax_number": "315-363-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0061311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ANDERSON",
            "prefix": "MRS.",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co
• Dianne Walker-Martinez
• Jessie Lin Wallis
• Debra Ann Walz, WHNP, AOCNP
• Maryann Wandersee
• Trevor Warmack, MHC-LP
• Michael J Washo, CDN
• Sandra Ann Watkins, LPN
• Nathan H. Weires, DDS
• Lacey Diane West, LPN

• Optometrist in Oneida, NY
• Providers in Oneida, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.