Individual provider Active NPI

Amy E Slama, O.D.

  • Optometrist
  • Mankato, MN
National Provider Identifier
1962758078
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3665 Issued in MN
Practice address
1630 Adams St Ste a
Mankato, MN 56001-4899
Phone
(507) 345-6151
Fax
(507) 625-1096
NPI assigned
Jul 26, 2012
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2750 OK
Student in an Organized Health Care Education/Training Program 390200000X 2750 OK
Optometrist 152W00000X 3665 MN Primary

Addresses

Primary practice location

1630 Adams St Ste a
Mankato, MN 56001-4899

Mailing address

1630 Adams St Ste a
Mankato, MN 56001-4899
Phone (507) 345-6151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aslama@oaom.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120918000944 OK Practitioner - Optometry 4385892272 Reassigns benefits to 1 organization
I20130409000533 TX Practitioner - Optometry 4385892272 Reassigns benefits to 1 organization
I20210407002927 MN Practitioner - Optometry 4385892272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1630 Adams St
Mankato, MN 56001-6795
Phone (507) 345-6151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as individual
Quality
99.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3665MNMDOptometrist
2750OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Mankato PA Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Ophthalmology Associates of Mankato PA CurrentSince Jun 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince May 1, 2020 Accepting new patients

Locations

1630 Adams St
Mankato, MN 56001
Phone (507) 345-3551

1630 Adams St
Ste A
Mankato, MN 56001
Phone (507) 345-6151

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: amy.slama@direct.mankatoeyedoctors.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1962758078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST STE A",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014899",
            "telephone_number": "507-345-6151",
            "fax_number": "507-625-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 ADAMS ST STE A",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014899",
            "telephone_number": "507-345-6151",
            "fax_number": "507-625-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAMA",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2750",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "2750",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aslama@oaom.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "NexTech",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1630 Adams St Ste A",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560014899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.