DR. AMMA CAROLYN DWOMOH OD
NPI 1275324014
Optometrist in Philadelphia, PA

Q: What is Amma Dwomoh's NPI number?

The NPI number for Amma Dwomoh is 1275324014. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Q: What is Amma Dwomoh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amma Dwomoh was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment

1200 W GODFREY AVE, PHILADELPHIA, PA 19141(215) 276-6000(215) 276-1329 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, May 13, 2025 (2 updates tracked since 2025).

On this page

About Dr. Amma Carolyn Dwomoh Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMMA CAROLYN DWOMOH OD (NPI 1275324014) is an individual optometrist in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG004255) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275324014

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. AMMA CAROLYN DWOMOHCredential: OD

Location Address1200 W GODFREY AVEPhiladelphia, PA 19141-3323

Mailing Address1200 W Godfrey AvePhiladelphia, PA 19141-3323 · (215) 276-6000

Phone(215) 276-6000

Fax(215) 276-1329

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 13, 2025

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1275324014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEG004255

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1200 W GODFREY AVE, Philadelphia, PA 19141

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amma Carolyn Dwomoh Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739695602

PECOS Enrollment IDI20250718001965

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amma Dwomoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Drexel University

Same address

Optometrist

1200 W GODFREY AVE
Philadelphia, PA 19141

Reassigned Medicare billing, Pennsylvania enrollment
335 clinicians in this Medicare group

NPI 1336160027 (215) 276-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL HOFFMAN O.D

Optometrist