Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda C Lallensack, OD

Individual provider Optometrist · NPI 1477178259

Amanda C Lallensack, OD is an Optometry in Crandon, Wisconsin. Qualified in 2020, 6 years ago. Practices with Forest County Potawatomi Community, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Phone: (715) 478-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3700 (WI)

Record details

NPI number1477178259
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing addressPo Box 396, Crandon, WI 54520-0396

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Forest County Potawatomi Community — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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