AMANDA SUE WALLS (NPI# 1073827531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073827531 |
Entity Type | Individual |
Full Name | AMANDA SUE WALLS |
Other Name | DR. AMANDA SUE NADOLSKI |
Credential | O.D. |
Practice Address |
2857 E Fountain Blvd Colorado Springs CO 80910-2312 |
Practice Telephone | 7193291221 |
Mailing Telephone | 7193291221 |
Enumeration Date | 2010-07-27 |
Last Update Date | 2011-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
2825 | CO | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225463235 | Amanda Darlene Walls | Pharmacist | 10801 Westheimer Rd, Houston, TX 77042-3201 | 2013-09-09 |
1063788800 | Amanda Walls | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2012-03-27 |
1073817243 | Amanda Walls | Counselor | 118 W High St, Ebensburg, PA 15931-1539 | 2011-01-03 |
Street Address |
2857 E FOUNTAIN BLVD |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80910-2312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497828776 | Michael G Pharris Jr. | Optometrist | 2857 E Fountain Blvd, Colorado Springs, CO 80910-2312 | 2006-11-16 |
1679925804 | Laurie L Thompson | Optometrist | 2857 E Fountain Blvd, Colorado Springs, CO 80910-2312 | 2016-07-12 |
1184821126 | Your Childs Eyes LLC | Optometrist | 2857 E Fountain Blvd, Colorado Springs, CO 80910-2312 | 2007-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
Find all providers in zip 80910 |
Taxonomy Code | 152WP0200X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Pediatrics |
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629303284 | Brian Vette | Optometrist | 2436 S Academy Blvd, Colorado Springs, CO 80916-2408 | 2009-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619586468 | Children's Eye Physicians P.C. | Optometrist | 1190 Bookcliff Ave Unit 102, Grand Junction, CO 81501-8159 | 2020-07-28 |
1609112465 | Children's Optical, LLC | Optometrist | 4320 Perry St, Denver, CO 80212-2357 | 2012-12-26 |
1114962651 | Children's Eye Physicians P.C. | Optometrist | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033-1942 | 2006-06-18 |
1831708676 | Children's Eye Physicians P.C. | Optometrist | 2373 Central Park Blvd Unit 102, Denver, CO 80238-2300 | 2020-07-28 |
1598374332 | Children's Eye Physicians P.C. | Optometrist | 9094 E Mineral Ave, Ste 200, Centennial, CO 80112 | 2020-07-28 |
1336758184 | Children's Eye Physicians P.C. | Optometrist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2020-07-28 |
1184251837 | Erin Major | Optometrist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-03-24 |
1811459530 | Celeste Gomez | Optometrist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-04-02 |
1205286499 | Melissa Engle | Optometrist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2016-06-17 |
1164805628 | Christina Grosshans, Od, Pllc | Optometrist | 373 W Drake Rd, Suite 3, Fort Collins, CO 80526-2881 | 2015-07-02 |
Find all providers with the same taxonomy |
City | COLORADO SPRINGS |
Zip Code | 80910 |
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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.