DR. AMY MUNDANCHIRA (OD) – Optometrist, NPI 1003460197

DR. AMY MUNDANCHIRA (OD) is a healthcare provider. based in Paramus, New Jersey. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. TUV009083 (NY). The NPI Number for DR. AMY MUNDANCHIRA (OD) is 1003460197

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY MUNDANCHIRA (OD)
NPI
1003460197
Phone
Not provided
Address
770 HIGHLAND AVE
Enumeration Date
28 July 2019
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2012657900
Graduation Year
2019 (7 years ago)
PAC ID
6103253315
Group Practice PAC ID
7012058449
Professional Enrollment ID
I20231008000011
Address ID
NJ076491535OR297XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:6State licenses:3Digital endpointsOther names

1,048 OPTOMETRY in NJ

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Provider Addresses for DR. AMY MUNDANCHIRA (OD)

  • 770, Highland Avenue, Paramus, Bergen County, New Jersey, 07652, United States

    PARAMUS, NJ 076523727

    Phone:

    Type: Mailing

  • 348, Main Street, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076015803

    Phone: (201) 342-4255

    Type: Location

  • 445 ROUTE 304

    BARDONIA, NY 109541614

    Phone:

    Type: Mailing

  • 598 TUCKAHOE RD

    YONKERS, NY 107105713

    Phone: (914) 337-7775

    Fax: (718) 504-4960

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-01

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: 2023-10-08

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
I20231008000011IOptometryNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07652)

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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: 7012058449View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

Can I cross-check DR. AMY MUNDANCHIRA (OD) using NPI 1003460197?
NPI 1003460197 belongs to DR. AMY MUNDANCHIRA (OD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. AMY MUNDANCHIRA (OD)?
You should see DR. AMY MUNDANCHIRA (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. AMY MUNDANCHIRA (OD)?
At a glance, DR. AMY MUNDANCHIRA (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. AMY MUNDANCHIRA (OD) located near Paramus?
DR. AMY MUNDANCHIRA (OD) currently maps to Paramus, New Jersey in this extract.
When was this NPI issued?
Enumeration for DR. AMY MUNDANCHIRA (OD) is noted as July 28, 2019 where the registry provides it.

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