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

Dr. Amy J Walport, OD

Individual provider Optometrist · NPI 1831408186

Dr. Amy J Walport, OD is an Optometry in Mira Loma, California. Graduated from Southern College of Optometry in 2010, 16 years ago. Practices with Siskiyou Eye Center Medical Group Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
Southern College of Optometry
Licensed in
CA
In the registry since
2010
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

12523 Limonite Ave Ste 460
Mira Loma, CA 91752-3668
Phone: (951) 685-9645
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14018TLG (CA)

Record details

NPI number1831408186
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 5, 2010
Last updated in NPPESOctober 5, 2010

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice Siskiyou Eye Center Medical Group Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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