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

Dr. Amanda Leanne Moore-Elcyzyn, OD

Individual provider Optometrist · NPI 1780612499

Dr. Amanda Leanne Moore-Elcyzyn, OD is an Optometry in Benton, Arkansas. Qualified in 2005, 21 years ago. Practices with Boise Vision Care, PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Idaho.

Years since qualifying
21
Licensed in
AR, ID
In the registry since
2006
Specialties on file
2
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

113 W Carpenter St
Benton, AR 72015-3317
Phone: (501) 778-2363
Fax: (501) 778-5329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1926 W State St, Boise, ID 83702-3957 — (208) 336-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100499 (ID)
Optometrist Taxonomy 152W00000X · Licence 2566 (AR)

Record details

NPI number1780612499
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Boise Vision Care, P.A. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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