Individual provider Active NPI

Amber Rose Lange, OD

  • Optometrist
  • Perrysburg, OH
National Provider Identifier
1982195855
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6655 Issued in OH
Practice address
1021 Sandusky St Ste E
Perrysburg, OH 43551-3201
Phone
(419) 874-3661
Fax
(419) 872-5195
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6655 OH Primary

Addresses

Primary practice location

1021 Sandusky St Ste E
Perrysburg, OH 43551-3201

Mailing address

1021 Sandusky St Ste E
Perrysburg, OH 43551-3201
Phone (419) 874-3661

Other practice location 1

3975 Navarre Ave
Oregon, OH 43616-3437
Phone (419) 698-4949

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180619002763 OH Practitioner - Optometry 7719232503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clear Vision, LLCGroup PAC ID 1052538378, 2 clinicians
Powell Vision Clinic LLCGroup PAC ID 9739460866, 2 clinicians

Practice addresses (Care Compare)

1021 Sandusky St
Suite E
Perrysburg, OH 43551-3201
Phone (419) 874-3661

3975 Navarre Ave
Oregon, OH 43616-3437
Phone (419) 698-4949

Merit-based Incentive Payment System (MIPS)

Final score
84.75 of 100Reported as group
Quality
97.58
Improvement activities
40
Cost
52.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6655OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Eye Care Inc Optometrist CurrentSince Jul 9, 2018 Accepting new patients
Spectrum Eye Care, Inc. Optometrist CurrentSince Jul 9, 2018 Accepting new patients
Crystal Clear Vision, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Powell Vision Clinic, LLC Optometrist CurrentSince May 15, 2025 Accepting new patients

Locations

15840 Medical Dr S
Ste A
Findlay, OH 45840
Phone (419) 422-6190

3975 Navarre Ave
Oregon, OH 43616
Phone (419) 698-4949

1021 Sandusky St
Ste E
Perrysburg, OH 43551
Phone (419) 872-3232

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum

Organizations & group practices 4

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1982195855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513201",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513201",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Navarre Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163437",
            "country_code": "US",
            "telephone_number": "419-698-4949",
            "fax_number": "419-698-9948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.