DR. AMANDA KAY DEXTER (O.D.) – Optometrist, NPI 1407168768

DR. AMANDA KAY DEXTER (O.D.) is a healthcare provider. based in San diego, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13952 (CA). The NPI Number for DR. AMANDA KAY DEXTER (O.D.) is 1407168768

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA KAY DEXTER (O.D.)
NPI
1407168768
Phone
(310) 702-7917
Address
3374 DALEY CENTER DR
Enumeration Date
2 July 2010
Last Update Date
14 January 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8587555484
Graduation Year
2010 (16 years ago)
PAC ID
7618140419
Group Practice PAC ID
1355734286
Professional Enrollment ID
I20111021000413
Address ID
CA920142553DE1349XMARX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. AMANDA KAY DEXTER (O.D.)

  • 3374 DALEY CENTER DR

    1708

    SAN DIEGO, CA 921234636

    Phone: (310) 702-7917

    Type: Mailing

  • 3350 LA JOLLA VILLAGE DR

    112G

    SAN DIEGO, CA 921610002

    Phone: (310) 702-7917

    Type: Location

  • 8758 DENT CT

    SAN DIEGO, CA 921191406

    Phone: (858) 945-4023

    Type: Mailing

  • 3655 NOBEL DR STE 130

    SAN DIEGO, CA 921221004

    Phone: (858) 945-4023

    Type: Location

  • 1349 Camino Del Mar Ste C

    Del Mar, CA 920142553

    Phone: (858) 945-4023

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $2,206.

Total Amount is formed as General ($2,206) + Research ($0) + Ownership ($0) = $2,206.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($497).

Total Amount

$2,206

General + Research + Ownership

Payments

31

Total payment records

General Amount

$2,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111021000413IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4134$0
92134Imaging of retina2827$0
99213Established patient office or other outpatient visit, 20-29 minutes2319$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355734286View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is DR. AMANDA KAY DEXTER (O.D.)'s NPI number?
DR. AMANDA KAY DEXTER (O.D.)'s NPI is 1407168768 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. AMANDA KAY DEXTER (O.D.)?
For scheduling context, DR. AMANDA KAY DEXTER (O.D.) is shown as active in the registry.
What expertise is attributed to DR. AMANDA KAY DEXTER (O.D.)?
DR. AMANDA KAY DEXTER (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. AMANDA KAY DEXTER (O.D.) associated with San Diego?
Public fields place DR. AMANDA KAY DEXTER (O.D.) around San Diego, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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