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

Amanda Walker Ackerson, OD

Individual provider Optometrist · NPI 1538019633

Amanda Walker Ackerson, OD is an Optometry in Moscow, Idaho. Graduated from Pacific University - College of Optometry in 2025, 1 year ago. Practices with Wilson Polito PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2026
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

1844 W Pullman Rd
Moscow, ID 83843-4014
Phone: (208) 883-1800
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3571596 (ID)

Record details

NPI number1538019633
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address1079 Vista Oaks Dr, Forest Grove, OR 97116-3069

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Wilson Polito Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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