DR. AMANDA LEE MADURSKI (NPI# 1609069814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609069814 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LEE MADURSKI |
| Credential | O.D. |
| Practice Address |
4000 Sterrettania Rd Erie PA 16506-4125 |
| Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
| Practice Telephone | 8148360543 |
| Practice Fax Number | 8148381145 |
| Mailing Fax Number | 8148682522 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001930 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022032200004 | 05 | |
| PA | 1022032200005 | 05 | |
| PA | 1022032200003 | 05 |
| Street Address |
4000 STERRETTANIA RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376508572 | David L Beaton | Obstetrics & Gynecology | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2006-04-19 |
| 1871936369 | Meredith Anne Marcincin | Ophthalmology | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2013-04-15 |
| 1235429945 | Medical Associates of Erie | Internal Medicine | 4000 Sterrettania Rd, Upper, Erie, PA 16506-4125 | 2011-04-14 |
| 1548498272 | Charles Edward Rohrbach | Internal Medicine | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2009-07-01 |
| 1548425523 | Ranko Barac | Internal Medicine | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2008-07-19 |
| 1295853364 | Medical Associates of Erie | Family Medicine | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2007-03-27 |
| 1194882365 | Medical Associates of Erie | Eyewear Supplier (Equipment, not the service) | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| 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 |
|---|---|---|---|---|
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1427521665 | Landa Vision, Inc. | Optometrist | 5158 Peach St Unit 20b, Erie, PA 16509-2489 | 2019-01-10 |
| 1568898690 | West Penn Advance Vision Care & Optical LLC | Optometrist | 2576 W 8th St, Erie, PA 16505-4416 | 2013-09-20 |
| 1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
| 1215168877 | Jessica Marie Goller | Optometrist | 3279 West 26th St, Erie, PA 16506 | 2009-07-30 |
| 1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
| 1154505063 | Visual Fx Vision Centers, LLC | Optometrist | 7000 Peach Street, Erie, PA 16509 | 2007-12-27 |
| 1912042466 | Douglas W Kennedy | Optometrist | 615 Mitchell Way Ste 103, Erie, CO 80516-5438 | 2007-02-21 |
| 1790843977 | Jill Diane Cuthbertson | Optometrist | 1344 W 38th St, Erie, PA 16508-2462 | 2006-12-04 |
| 1427126267 | Visioncare Laser Centers of Erie | Optometrist | 1909 West 8th Street, Erie, PA 16505-4936 | 2006-12-01 |
| Find all providers in ERIE | ||||
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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.