Amanda C. Lallensack, OD
NPI 1477178259ActiveIndividual· Optometrist· Crandon, WI
Optometrist (OD) with Forest County Potawatomi Community, practicing in Crandon, Wisconsin. Mostly services rather than prescriptions: Medicare paid $7,332 for 92 patients in 2024, with only 26 Part D claims.
Overview
| NPI | 1477178259 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jun 8, 2020 |
| Last updated in NPPES | Aug 17, 2021 |
| Certified by provider | Aug 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3700 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (TX); Practitioner - Optometry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 136 across 9 procedure codes |
| Paid by Medicare | $7,332 |
Part D prescriptions in 2024
| Prescriptions (claims) | 26 · 30 30-day fills |
|---|---|
| Total drug cost | $484.44 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Forest County Potawatomi CommunityCrandon, WI · 21 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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