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DR. AMANDA KAY DEXTER O.D.
NPI 1407168768
Optometrist in San Diego, CA

Active since July 02, 2010PECOS EnrolledAccepts Medicare Assignment
3655 NOBEL DR STE 130, SAN DIEGO, CA 92122(858) 945-4023 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Amanda Kay Dexter O.d. NPPES

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

DR. AMANDA KAY DEXTER O.D. (NPI 1407168768) is an individual optometrist in San Diego, California, licensed in California (13952) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Del Mar, and is a graduate of Southern California College Of Optometry (2010).

NPPES Registry Identity

NPI1407168768
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMANDA KAY DEXTERCredential: O.D.
Location Address3655 NOBEL DR STE 130San Diego, CA 92122-1004
Mailing Address8758 Dent CtSan Diego, CA 92119-1406 · (858) 945-4023
Phone(858) 945-4023
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2010
Enumeration DateJuly 2, 2010
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1407168768 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 CA · 13952
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.
3655 NOBEL DR STE 130, San Diego, CA 92122
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Secondary Practice Location 1

Location 11349 Camino Del Mar Ste CDel Mar, CA 92014-2553 · Phone (858) 945-4023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Kay Dexter 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 ID7618140419
PECOS Enrollment IDI20111021000413
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

2

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

Thomas S Tooma M D A Professional Corporation
6.4 mi
Optometrist
3075 HEALTH CENTER DR STE 403
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1215583257 (858) 278-9900
Del Mar Optometric Group
6.6 mi
Optometrist
1349 CAMINO DEL MAR STE C
Del Mar, CA 92014
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1770243891 (548) 485-8755

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services44 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
35 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

ASHLEY SARAH VARGHESE OD
Optometrist
3655 NOBEL DR STE 130
SAN DIEGO, CA 92122
San Diego County (858) 283-5371

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 Dexter's NPI number?

The NPI number for Amanda Dexter is 1407168768. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Amanda Dexter located?

Amanda Dexter practices at 3655 Nobel Dr Ste 130, San Diego, CA 92122. The listed phone number is (858) 945-4023.

What is Amanda Dexter's specialty?

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

Is Amanda Dexter enrolled in Medicare?

Yes. Amanda Dexter 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 Dexter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dexter reassigns Medicare benefits to 2 organizations: Thomas S Tooma M D A Professional Corporation (San Diego, CA) and Del Mar Optometric Group (Del Mar, CA). 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 Dexter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dexter accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Amanda Dexter 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 Dexter was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.