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DR. AMY M OLEX O.D.
NPI 1528038221
Optometrist in Pottsville, PA

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
80.78/100
CMS Quality Rating
1494 ROUTE 61 HWY S STE 100, POTTSVILLE, PA 17901(570) 621-5690(570) 622-9285 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Jul 5, 2023 (2 updates tracked since 2023).

About Dr. Amy M Olex O.d. NPPES

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

DR. AMY M OLEX O.D. (NPI 1528038221) is an individual optometrist in Pottsville, Pennsylvania, licensed in Pennsylvania (OEG000283) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2001).

NPPES Registry Identity

NPI1528038221
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AMY M OLEXCredential: O.D.
Location Address1494 ROUTE 61 HWY S STE 100Pottsville, PA 17901-8404
Mailing Address22 Bow Creek DrMountain Top, PA 18707-1523 · (570) 956-5197
Phone(570) 621-5690
Fax(570) 622-9285
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2001
Enumeration DateJanuary 25, 2006
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1528038221 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 · OEG000283
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.
1494 ROUTE 61 HWY S STE 100, Pottsville, PA 17901
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Other Identifiers 1

Medicaid007714937-0006PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy M Olex 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 ID6305882663
PECOS Enrollment IDI20050708000086
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.

Areas of Expertise CMS Part B claims 7

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.
95 services81 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.
66 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 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.
52 services45 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
26 services25 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.29
Promoting Interoperability86
Improvement Activities40
Cost49.32

Other Providers at the Same Location NPPES 2

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

DR. DENIS WENDERS OD
Optometrist
1494 ROUTE 61 HWY S STE 100
POTTSVILLE, PA 17901
Schuylkill County (570) 621-5690
EYE CONSULTANTS OF PENNSYLVANIA, PC
Ophthalmology
1494 ROUTE 61 HWY S STE 100
POTTSVILLE, PA 17901
Schuylkill County (570) 621-5690

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 Amy Olex's NPI number?

The NPI number for Amy Olex is 1528038221. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Amy Olex located?

Amy Olex practices at 1494 Route 61 Hwy S Ste 100, Pottsville, PA 17901. The listed phone number is (570) 621-5690.

What is Amy Olex's specialty?

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

Is Amy Olex enrolled in Medicare?

Yes. Amy Olex 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.

What insurance does Amy Olex accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Amy Olex 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 Amy Olex was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.