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

Dr. Amanda Elizabeth Jolly, OD

Individual provider Optometrist · NPI 1396031951

Dr. Amanda Elizabeth Jolly, OD is an Optometry in Green Bay, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 2011, 15 years ago. Practices with Modern Eyes Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Trained at
Illinois College of Optometry at Chicago
Licensed in
WI
In the registry since
2011
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

2485 Lineville Rd Ste 102
Green Bay, WI 54313-7140
Phone: (920) 857-3700
Fax: (920) 857-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3229-35 (WI)

Record details

NPI number1396031951
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 22, 2011
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2011 (15 years in practice)
Group practice Modern Eyes Ltd. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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