DR. AMY J WALPORT O.D.
NPI 1831408186
Optometrist in Mira Loma, CA

Q: What is Amy Walport's NPI number?

The NPI number for Amy Walport is 1831408186. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Q: What is Amy Walport'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 Amy Walport was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 05, 2010PECOS EnrolledAccepts Medicare Assignment

12523 LIMONITE AVE STE 460, MIRA LOMA, CA 91752(951) 685-9645 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Amy J Walport O.d. NPPES

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

DR. AMY J WALPORT O.D. (NPI 1831408186) is an individual optometrist in Mira Loma, California, licensed in California (14018TLG) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2010).

NPPES Registry Identity

NPI1831408186

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. AMY J WALPORTCredential: O.D.

Location Address12523 LIMONITE AVE STE 460Mira Loma, CA 91752-3668

Mailing Address1119 Neatherly CirCorona, CA 92880-1240 · (714) 504-2789

Phone(951) 685-9645

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2010

Enumeration DateOctober 5, 2010

✔ NPI 1831408186 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 · 14018TLG

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.

12523 LIMONITE AVE STE 460, Mira Loma, CA 91752

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.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 J Walport 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 ID5991983975

PECOS Enrollment IDI20250826004334, I20250826004446

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91752 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Amy Walport's NPI number?

The NPI number for Amy Walport is 1831408186. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Amy Walport located?

Amy Walport practices at 12523 Limonite Ave Ste 460, Mira Loma, CA 91752. The listed phone number is (951) 685-9645.

What is Amy Walport's specialty?

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

Is Amy Walport enrolled in Medicare?

Yes. Amy Walport 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 Walport accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Amy Walport 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 Walport was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.