Dr Amy J Walport, OD is a medicare enrolled "Optometrist" provider in Mira Loma, California. She went to Southern College Of Optometry and graduated in 2010 and has 16 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Siskiyou Eye Center Medical Group Inc, Siskiyou Eye Center, Medical Group, Pc and her current practice location is
12523 Limonite Ave Ste 460, Mira Loma, California. You can reach out to her office (for appointments etc.) via phone at
(951) 685-9645.
Dr Amy J Walport is licensed to practice in California (license number 14018TLG) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831408186.
Healthcare Provider's Profile
| Full Name | Dr Amy J Walport |
|---|
| Gender | Female |
|---|
| Speciality | Optometry |
|---|
| Experience | 16 Years |
|---|
| Location | 12523 Limonite Ave Ste 460, Mira Loma, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Amy J Walport attended and graduated from Southern College Of Optometry in 2010
NPI Data:
- NPI Number: 1831408186
- Provider Enumeration Date: 10/05/2010
- Last Update Date: 10/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 5991983975
- Enrollment ID: I20250826004446
Medical Identifiers
Medical identifiers for Dr Amy J Walport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831408186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 14018TLG (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Siskiyou Eye Center Medical Group Inc | 6103996848 | 6 |
| Siskiyou Eye Center, Medical Group, Pc | 5890685911 | 6 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amy J Walport is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amy J Walport, OD
1119 Neatherly Cir,
Corona, CA 92880-1240
Ph: (714) 504-2789 | Dr Amy J Walport, OD
12523 Limonite Ave Ste 460,
Mira Loma, CA 91752-3668
Ph: (951) 685-9645 |
Reviews and Comments