DR. AMANDA DANETTE GONZALES (NPI# 1356657985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356657985 |
| Entity Type | Individual |
| Full Name | DR. AMANDA DANETTE GONZALES |
| Other Name | AMANDA DANETTE SHORT |
| Credential | O.D. |
| Practice Address |
3702 34th St Lubbock TX 79410-2836 |
| Practice Telephone | 8067993944 |
| Practice Fax Number | 8067994238 |
| Mailing Telephone | 8067993944 |
| Mailing Fax Number | 8067994238 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2013-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7553TG | TX | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2654 | OK | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536729 | Amanda Gonzales | Social Worker | 3301 Candelaria Rd Ne Ste B, Albuquerque, NM 87107-1965 | 2020-07-29 |
| 1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
| 1649777848 | Amanda Gonzales | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-04-12 |
| 1427564111 | Amanda Gonzales | Behavior Technician | 207 E Gordon Ave Ste 4, Layton, UT 84041-2375 | 2017-12-18 |
| 1669858205 | Amanda Gonzales | Case Manager/Care Coordinator | 301 S Camino Del Pueblo, Bernalillo, NM 87004-6276 | 2015-08-05 |
| 1396081485 | Amanda Gonzales | Counselor | 121 Townsgate Plz, Clovis, NM 88101-3714 | 2012-12-18 |
| 1912242009 | Amanda Ann Gonzales | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2012-11-30 |
| 1336497114 | Amanda Gonzales | Registered Nurse | 4856 Innovation Dr Ste B, Fort Collins, CO 80525-5540 | 2012-08-27 |
| 1366744179 | Amanda Gonzales | Case Manager/Care Coordinator | 632 Chama St Se Apt A, Albuquerque, NM 87108-3963 | 2010-11-30 |
| 1225369754 | Amanda Gonzales | Specialist | 2500 W Lake Mary Blvd, Lake Mary, FL 32746-3501 | 2010-01-22 |
| Street Address |
3702 34TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975861 | Lubbock Ophthalmology Associate, P.a. | Ophthalmology | 3702 34th St, Lubbock, TX 79410-2836 | 2006-05-02 |
| 1952312100 | Richard M. Covin | Ophthalmology | 3702 34th St, Lubbock, TX 79410-2836 | 2006-08-11 |
| 1043268105 | Ming Tao Peter Ho | Ophthalmology | 3702 34th St, Lubbock, TX 79410 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| 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 |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1023513520 | Fadel Eye Group, LLC | Optometrist | 6002 Slide Rd Ste 68448, Lubbock, TX 79414-4341 | 2018-03-27 |
| 1053799825 | Karley Woodrich | Optometrist | 4015 84th St, Lubbock, TX 79423-1913 | 2015-05-13 |
| 1700294949 | Shabree Nicole Nichols-caleb | Optometrist | 6002 Slide Rd Spc G32, Lubbock, TX 79414-4310 | 2014-07-31 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1356782932 | Daniel & Max, LLC | Optometrist | 5031 50th St, Suite 1, Lubbock, TX 79414-3420 | 2013-07-11 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1407102320 | Darrin Odell Peterson | Optometrist | 411 University Ave, Lubbock, TX 79401-1600 | 2012-07-29 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1972801223 | Texas Tech University Health Sciences Center Lubbock | Optometrist | 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 | 2011-03-10 |
| Find all providers in LUBBOCK | ||||
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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.