Suzanne Buchanan, OD
Individual provider Active NPI Optometrist · Wichita, KS
NPI 1003881269 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1003881269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1394 (KS)
- Practice address
- 3607 N Ridge Rd
Wichita, KS 67205 - Phone
- (316) 721-2701
- Fax
- (316) 721-8612
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.79 of 100
- Quality
- 81.25
- Promoting interoperability
- 97
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1394 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grene Vision Group LLC | Optometrist | Past | Accepting new patients |
| Grene Vision Group LLC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1394 | KS | Yes |
Addresses
Primary practice location
3607 N Ridge Rd
Wichita, KS 67205
Mailing address
1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 691-4418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100220270B | Medicaid | KS |
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.