AMANDA BANCROFT (NPI# 1073139416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139416 |
| Entity Type | Individual |
| Full Name | AMANDA BANCROFT |
| Practice Address |
1020 Terrace Dr Ste 100 Marion VA 24354-4392 |
| Practice Telephone | 2673747551 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002893 | VA | Eye and Vision Services Providers |
| Street Address |
1020 TERRACE DR STE 100 |
| City | MARION |
| State | VA |
| Zip Code | 24354-4392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988610 | Shannon Alisha Howell | Optometrist | 1020 Terrace Dr Ste 100, Marion, VA 24354-4392 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988610 | Shannon Alisha Howell | Optometrist | 1020 Terrace Dr Ste 100, Marion, VA 24354-4392 | 2018-07-05 |
| 1043565260 | Oda Eye Care, L.L.C. | Optometrist | 1377 Marion Waldo Rd, Marion, OH 43302-7435 | 2012-07-14 |
| 1033302294 | Melvin L. Frecker O.d. | Optometrist | 304 S Baldwin Ave, Marion, IN 46952-3528 | 2007-08-21 |
| 1407901143 | Tommy Joe Miller | Optometrist | 1723 Marion Mount Gilead Rd, Marion, OH 43302-7842 | 2007-01-24 |
| 1275692220 | Iowa Eye Care PC | Optometrist | 1065 E Post Rd, Marion, IA 52302-5214 | 2006-12-06 |
| 1043385198 | Melvin L. Frecker | Optometrist | 1402 W Spencer Ave, Marion, IN 46952-3413 | 2006-11-22 |
| 1467533646 | Richard G. Bursua | Optometrist | 1306 N . Russell St., Marion, IL 62959 | 2006-10-17 |
| 1154414092 | John David Power | Optometrist | 3411 Office Park Dr, Marion, IL 62959-6478 | 2006-10-02 |
| 1598858052 | Allyson Jean Mcphearson | Optometrist | 3240 South Western Ave, Marion, IN 46952 | 2006-10-02 |
| 1073613279 | Jane Herman | Optometrist | 3000 W Deyoung St Ste 500, Marion, IL 62959-5551 | 2006-09-25 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.