DR. AMANDA ELIZABETH JOLLY O.D
NPI 1396031951
Optometrist in Green Bay, WI

Q: What is Amanda Jolly's NPI number?

The NPI number for Amanda Jolly is 1396031951. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Amanda Elizabeth Schuster Od.

Q: What is Amanda Jolly'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 Amanda Jolly was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 June 22, 2011PECOS EnrolledAccepts Medicare Assignment

2485 LINEVILLE RD STE 102, GREEN BAY, WI 54313(920) 857-3700(920) 857-3888 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 21, 2021, Nov 13, 2018 (2 updates tracked since 2018).

On this page

About Dr. Amanda Elizabeth Jolly O.d NPPES

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

DR. AMANDA ELIZABETH JOLLY O.D (NPI 1396031951) is an individual optometrist in Green Bay, Wisconsin, licensed in Wisconsin (3229-35) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2011).

NPPES Registry Identity

NPI1396031951

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. AMANDA ELIZABETH JOLLYCredential: O.D

Location Address2485 LINEVILLE RD STE 102Green Bay, WI 54313-7140

Mailing Address2485 Lineville Rd Ste 102Green Bay, WI 54313-7140 · (920) 857-3700 · Fax (920) 857-3888

Phone(920) 857-3700

Fax(920) 857-3888

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2011

Enumeration DateJune 22, 2011

Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1396031951 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 WI · 3229-35

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.

2485 LINEVILLE RD STE 102, Green Bay, WI 54313

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Other Names 1

Former Name (1)Amanda Elizabeth Schuster Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana 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. Amanda Elizabeth Jolly O.d 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 ID9335316967

PECOS Enrollment IDI20120121000047

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 Reassignments

Medicare enrollment records show Amanda Jolly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shoptikal LLC

0.4 mi

Eyewear Supplier

2314 LINEVILLE RD STE 104
Green Bay, WI 54313

Reassigned Medicare billing, Wisconsin enrollment
187 clinicians in this Medicare group

NPI 1194381509 (920) 434-5845

Modern Eyes Ltd.

7.1 mi

Optometrist

2330 S ONEIDA ST STE 106
Green Bay, WI 54304

Reassigned Medicare billing, Wisconsin enrollment
4 clinicians in this Medicare group

NPI 1811132830 (920) 499-3937

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 54313 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jolly's NPI number?

The NPI number for Amanda Jolly is 1396031951. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Amanda Elizabeth Schuster Od.

Where is Amanda Jolly located?

Amanda Jolly practices at 2485 Lineville Rd Ste 102, Green Bay, WI 54313. The listed phone number is (920) 857-3700.

What is Amanda Jolly's specialty?

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

Is Amanda Jolly enrolled in Medicare?

Yes. Amanda Jolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jolly reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Green Bay, WI) and Modern Eyes Ltd. (Green Bay, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Jolly accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Amanda Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Jolly was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.