Individual provider Active NPI

Amanda Lee Hursh, O.D,

  • Optometrist
  • El Dorado, KS
National Provider Identifier
1972769545
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1817 Issued in KS
Practice address
201 N Vine St
El Dorado, KS 67042-2055
Phone
(316) 321-4020
Fax
(316) 321-0115
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1817 KS Primary

Addresses

Primary practice location

201 N Vine St
El Dorado, KS 67042-2055

Mailing address

201 N Vine St
El Dorado, KS 67042-2055
Phone (316) 321-4020

Other identifiers 1

IdentifierTypeStateIssuer
200664750MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20081106000279 KS Practitioner - Optometry 9931268877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Joyce and Hursh LLCGroup PAC ID 3678520376, 2 clinicians

Practice addresses (Care Compare)

201 N Vine St
El Dorado, KS 67042-2055
Phone (316) 321-4020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1817KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Joyce & Hursh, LLC Optometrist CurrentSince Sep 11, 2012 Accepting new patients
Eye Associates of Wichita PA Optometrist Past Accepting new patients
Carla J Mosteller OD PA Optometrist PastSince Aug 1, 2005 Accepting new patients
Reynolds & Anliker Eye Physicians & Surgeons LLC PastSince Sep 11, 2012 Accepting new patients
Michael D Gordon OD PA Optometrist Past Accepting new patients

Locations

201 N Vine St
El Dorado, KS 67042
Phone (316) 321-4020

501 N Main St
Eureka, KS 67045
Phone (620) 583-6471

Interoperability endpoints

  • Direct secure messaging: drhursh@drsjoycehursh.direct.eyemdemr.com
  • Direct secure messaging: amanda.hursh@khindirect.org

Organizations & group practices 5

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1972769545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N VINE ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422055",
            "telephone_number": "316-321-4020",
            "fax_number": "316-321-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N VINE ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422055",
            "telephone_number": "316-321-4020",
            "fax_number": "316-321-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSH",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200664750",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

Verify at the official NPI Registry.