Ammel Optometry, LLC
Organization Active NPI Optometrist · Ottawa, KS
NPI 1043328271 · NPPES record last updated Jul 16, 2022
Key facts
- NPI
- 1043328271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1729 (KS)
- Legal business name
- AMMEL OPTOMETRY, LLC
- Practice address
- 2101 S Princeton St
Suite #100
Ottawa, KS 66067-4007 - Phone
- (785) 242-7300
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kathleen Viola Ammel, O.D.
- Title
- Manager
- Phone
- (785) 242-7300
Practitioners 3
-
Kathleen Viola Ammel, O.D.
-
Steven Jay Flory, OD
-
Neel Kamal Gupta, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090120000143 | KS | Part B Supplier - Clinic/Group Practice | 4789747692 |
Receives reassigned benefits from 3 practitioners Practice locations: Lawrence, KS; Ottawa, KS |
National Provider Directory
Locations
2101 S Princeton St
#100
Ottawa, KS 66067
2101 S Princeton St
Ste 100
Ottawa, KS 66067
Phone (785) 242-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1729 | KS | Yes |
Addresses
Primary practice location
2101 S Princeton St
Suite #100
Ottawa, KS 66067-4007
Mailing address
PO Box 676
Ottawa, KS 66067-0676
Phone (785) 242-7300
Other practice location 1
3300 Bob Billings Pkwy Ste 9
Lawrence, KS 66049-2949
Phone (785) 749-1010
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.