Active NPI
Wichita Optometry, P.a.
- Optometrist
- Mulvane, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WICHITA OPTOMETRY, P.A.
- Practice address
- 415 SE Louis Dr
Mulvane, KS 67110-1205 - Phone
- (316) 942-7496
- Fax
- (316) 239-2557
- NPI assigned
- Nov 5, 2018
- Last updated
- Jun 30, 2021
- Organization subpart
- Yes
- Parent organization
- WICHITA OPTOMETRY P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey H Yarrow, OD
- Title
- Owner
- Phone
- (316) 942-7496
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
415 SE Louis Dr
Mulvane, KS 67110-1205
Mailing address
2635 W Douglas Ave
Wichita, KS 67213-2605
Phone (316) 942-7496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181128002597 | KS | DME Supplier - Physician - Optometrist | 2567541451 | Practice locations: Mulvane, KS |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Part of
- Fisher Yarrow PA
Locations
415 SE Louis Dr
Mulvane, KS 67110
Phone (316) 777-0022
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Wichita, KS
- NPI 1083676936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Wichita, KS
- NPI 1699737544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1053889451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 W DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672132605",
"telephone_number": "316-942-7496",
"fax_number": "316-239-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SE LOUIS DR",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101205",
"telephone_number": "316-942-7496",
"fax_number": "316-239-2557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICHITA OPTOMETRY, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WICHITA OPTOMETRY P.A.",
"enumeration_date": "2018-11-05",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "YARROW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-942-7496",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mulvane, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.