Amanda Lynn Kopczyk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

152W00000X Issued in WI

Practice address

12876 W Bluemound Rd
Elm Grove, WI 53122-2605

Phone

(262) 432-0052

Fax

(262) 923-7610

NPI assigned

May 25, 2012

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

• Dr. Amanda Lynn Leonhard Former name

Medicare fee-for-service enrollment

Enrolled in WI

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Eye Complete Family Eyecare SCGroup PAC ID 2264589324, 3 clinicians

Practice addresses (Care Compare)

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.

• Metro Eye Complete Family Eyecare SC

  • Eyewear Supplier
  • Milwaukee, WI
  • NPI 1366680183

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1982964730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-923-7298",
            "fax_number": "262-923-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12876 W BLUEMOUND RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222605",
            "telephone_number": "262-432-0052",
            "fax_number": "262-923-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCZYK",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LEONHARD",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michaela R Klimko, LPC
• Ariel Namowicz Kloss, LCSW
• Koch Chiropractic LTD.
• Dennis A Koch, D.C.
• Mark James Koch, D.C.
• Mary Lou Krauithoefer, BSN, RN
• Kendall Kuhary, MS, LPC, NCC
• Samantha Faye Kuspa, RDN, CD, LD
• Lia M Laine
• Jacqueline Lee Landers, MSW LCSW CSAC

• Optometrist in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.