Dr. Amanda Leanne Moore-elcyzyn is a Benton, Arkansas based female Optometrist with 19 years of experience in Optometry. She completed her graduation from Other in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Amanda Leanne Moore-elcyzyn is ODP-100499 for Optometry in Idaho. Dr. Amanda Leanne Moore-elcyzyn 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Amanda Leanne Moore-elcyzyn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2005
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
113 W Carpenter St, Benton, Arkansas, 72015-3317
Phone:
501-778-2363
Fax:
501-778-5329
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224033352
Enrollment ID:
I20200902003571
NPI Number:
1780612499
NPI Enumeration Date:
29 Jun, 2006
NPI Last Update On:
09 Sep, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Amanda Leanne Moore-elcyzyn are as mentioned below.
License Number
Specialization
State
Status
ODP-100499
Optometry
Idaho
Primary
2566
Optometry
Arkansas
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Amanda Leanne Moore-elcyzyn has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Boise Vision Care, P.a. (4284768656)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Amanda Leanne Moore-elcyzyn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
49956
Other
Arkansas
MEDICARE #
161893722
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1926 W State St, Boise, Idaho
Zip:
83702-3957
Phone Number:
208-336-2020
Fax Number:
208-384-5677
Patients can reach Dr. Amanda Leanne Moore-elcyzyn at 113 W Carpenter St, Benton, Arkansas or can call to book an appointment on 501-778-2363. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.