DR. AMANDA NICOLE COPPEDGE (O.D.) – Optometrist, NPI 1356533566

DR. AMANDA NICOLE COPPEDGE (O.D.) is a healthcare provider. based in Lecanto, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4215 (FL). The NPI Number for DR. AMANDA NICOLE COPPEDGE (O.D.) is 1356533566

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA NICOLE COPPEDGE (O.D.)
NPI
1356533566
Phone
(352) 746-2246
Address
240 N. LECANTO HWY.
Enumeration Date
11 August 2007
Last Update Date
20 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527962141
Graduation Year
2007 (19 years ago)
PAC ID
0446345789
Group Practice PAC ID
9032251160
Professional Enrollment ID
I20071002000718
Address ID
FL346012818BR86XXXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. AMANDA NICOLE COPPEDGE (O.D.)

  • 240, North Lecanto Highway, Lecanto, Citrus County, Florida, 34461, United States

    LECANTO, FL 34461

    Phone: (352) 746-2246

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: CooperVision Inc. ($336).

Total Amount

$649

General + Research + Ownership

Payments

19

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2007-10-02

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
I20071002000718IOptometryFLTBD

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 minutes111103$0
92133Imaging of optic nerve3333$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
66984Removal of cataract with insertion of prosthetic lens2714$0
View full utilization report →

Insurance plans in this area (ZIP 34461)

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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: 9032251160View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is DR. AMANDA NICOLE COPPEDGE (O.D.)'s NPI number?
DR. AMANDA NICOLE COPPEDGE (O.D.)'s NPI is 1356533566 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. AMANDA NICOLE COPPEDGE (O.D.)?
You should see DR. AMANDA NICOLE COPPEDGE (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. AMANDA NICOLE COPPEDGE (O.D.)?
At a glance, DR. AMANDA NICOLE COPPEDGE (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. AMANDA NICOLE COPPEDGE (O.D.) registered?
Use Lecanto, Florida as the headline location for DR. AMANDA NICOLE COPPEDGE (O.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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