MS. AMANDA J KIRK (O.D.) – Optometrist, NPI 1477860708

MS. AMANDA J KIRK (O.D.) is a healthcare provider. based in Sparta, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2944 (TN). The NPI Number for MS. AMANDA J KIRK (O.D.) is 1477860708

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA J KIRK (O.D.)
NPI
1477860708
Phone
(931) 836-2235
Address
25 N MAIN ST
Enumeration Date
8 September 2010
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9315286411
Graduation Year
2010 (16 years ago)
PAC ID
6103094966
Group Practice PAC ID
1355379256
Professional Enrollment ID
I20110721000450
Address ID
TN385010916CO430XXSTXX300
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

957 OPTOMETRY in TN

Provider Addresses for MS. AMANDA J KIRK (O.D.)

  • 25 N MAIN ST

    SPARTA, TN 385832055

    Phone: (931) 836-2235

    Type: Location

  • 430 NEAL ST

    COOKEVILLE, TN 385010916

    Phone: (931) 528-6411

    Fax: (931) 372-0380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $553.

Total Amount is formed as General ($553) + Research ($0) + Ownership ($0) = $553.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($230).

Total Amount

$553

General + Research + Ownership

Payments

14

Total payment records

General Amount

$553

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: 2011-07-21

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
I20110721000450IOptometryTNTBD

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 38583)

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Provider's Procedures

MS. AMANDA J KIRK (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92134Diagnostic imaging of retina2924

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: 1355379256View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
-TN

Reviews

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Frequently asked questions

Does MS. AMANDA J KIRK (O.D.) have a public NPI I can cite?
Public records show MS. AMANDA J KIRK (O.D.) under NPI 1477860708.
Is MS. AMANDA J KIRK (O.D.)'s NPI status active today?
Active status means MS. AMANDA J KIRK (O.D.)'s NPI record is not deactivated in the public file.
What type of care does MS. AMANDA J KIRK (O.D.) provide?
MS. AMANDA J KIRK (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. AMANDA J KIRK (O.D.)?
MS. AMANDA J KIRK (O.D.) shows a connection to Sparta, Tennessee in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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