Kyle Wainwright, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1931 Issued in KS

Practice address

101 Bluemont Ave
Manhattan, KS 66502-5093

Phone

(785) 539-8019

Fax

(785) 587-0676

NPI assigned

Aug 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wainwright Eye Care PAGroup PAC ID 3678725132, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Wainwright Eye Care, P.a.

  • Optometrist
  • Manhattan, KS
  • NPI 1154678522
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361577600000",
    "number": "1063769438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BLUEMONT AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025093",
            "telephone_number": "785-539-8019",
            "fax_number": "785-587-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BLUEMONT AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025093",
            "telephone_number": "785-539-8019",
            "fax_number": "785-587-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-04",
        "last_updated": "2013-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harley William Volkmann, M.D.
• Ryan M Vonderhorst, MD
• Kelly Lei Vredenburg, CLC
• Brenda Waggoner, RN
• Wainwright Eye Care, P.a.
• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co
• Israel V Walker, PA-C
• Jeremiah Walker

• Optometrist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.