Look up the most recent NPI and PECOS records

Amy Leighann Kurth

Optometrist

Eye and Vision Services Providers

PECOS Enrollment

This provider is enrolled in PECOS as AMY KURTH.

Based on the most recent information from CMS, provider Amy Leighann Kurth is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 10 days ago.

Profile Details

Provider ID
1417915539
Provider Type
Individual
Full Name
Kurth, Amy Leighann
Credential
O.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/1/2006
Last Updated
2/6/2014

Contact Information

Practice Location

591 E Main St, Canton, GA 30114-2801

(770) 479-4481

(770) 479-8932

Mailing Location

591 E Main St, Canton, GA 30114-2801

(770) 479-4481

(770) 479-8932

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 1928 Georgia

Provider Identifiers

ID	Description	Issuer
ID 000958559A	Description Medicaid	Issuer Unlisted Georgia

Amy Leighann Kurth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Myeyedr Optometry Of Georgia Llc

Spolzino, Richard D.

Lohman, Katelyn Wilma

Happy Eyes Llc

Precision Eyecare Llc

Gamba, Rafael Antonio

Covington, Elizabeth P

Womack, John Thomas

Suresight And Associates L L C

Patel, Vishal Sanjay