Individual provider Active NPI

Eliel Trejo, OD

  • Optometrist
  • Garden City, KS
National Provider Identifier
1053149898
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2233 Issued in KS
Practice address
802 N Campus Dr
Garden City, KS 67846-6342
Phone
(620) 275-5375
Fax
(620) 275-2036
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2233 KS Primary

Addresses

Primary practice location

802 N Campus Dr
Garden City, KS 67846-6342

Mailing address

802 N Campus Dr
Garden City, KS 67846-6342
Phone (620) 275-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819000303 KS Practitioner - Optometry 2062950355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

802 N Campus Dr
Garden City, KS 67846-6342
Phone (620) 275-5375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Hopkins Ackerman & Drees LLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
DRS. Hopkins, Hopkins & Ackerman Optometrist, L.L.C Optometrist CurrentSince Jul 28, 2024 Accepting new patients

Locations

802 N Campus Dr
Garden City, KS 67846
Phone (316) 275-5375

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1053149898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466342",
            "telephone_number": "620-275-5375",
            "fax_number": "620-275-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466342",
            "telephone_number": "620-275-5375",
            "fax_number": "620-275-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "ELIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.