Amanda Walker Ackerson, OD
NPI 1538019633ActiveIndividual· Optometrist· Moscow, ID
Optometrist (OD) in Moscow, Idaho, trained at Pacific University - College of Optometry (class of 2025). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1538019633 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jan 29, 2026 |
| Last updated in NPPES | Jan 29, 2026 |
| Certified by provider | Jan 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3571596 | ID |
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 (ID) |
|---|
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Optometry |
Medical group
- Wilson Polito PLLCMoscow, ID · 4 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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