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

MS. Amanda Lee Gannon, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659946093

MS. Amanda Lee Gannon, OD is an Optometry in Beverly, Massachusetts. Graduated from New England College of Optometry in 2021, 5 years ago. Practices with Myeyedr Optometry of Massachusetts P C, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Trained at
New England College of Optometry
Licensed in
MA
In the registry since
2021
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

495 Cabot St Ste 1
Beverly, MA 01915-2515
Phone: (978) 921-5000
Fax: (978) 921-5003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Washington St, Wellesley, MA 02481-1711 — (781) 263-7360

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5477 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659946093
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Myeyedr Optometry Of Massachusetts P C — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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