Active NPI
Matthew Philip Laurie, O.D.
- Optometrist
- Olathe, KS
National Provider Identifier
1073559274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS1599
- Practice address
- 12120 S Strang Line Rd
Olathe, KS 66062-5219 - Phone
- (913) 307-9200
- Fax
- (913) 307-9200
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KS1599 | KS | Primary |
| Optometrist | 152W00000X | 2000166654 | MO | |
| Optometrist | 152W00000X | OPC 3482 | FL |
Addresses
Primary practice location
12120 S Strang Line Rd
Olathe, KS 66062-5219
Mailing address
13801 Cedar St
Leawood, KS 66224-1119
Phone (913) 307-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100423680A | Medicaid | KS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920000571 | KS | Practitioner - Optometry | 1456385475 | Practice locations: Olathe, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12120 S Strang Line Rd
Olathe, KS 66062-5219
Phone (913) 397-9111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3482 | FL | MD | Optometrist |
| KS1599 | KS | MD | Optometrist |
| 2000166654 | MO | MD | Optometrist |
| 1599 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunkeler Eye Institute PA | Optometrist | Past | Accepting new patients |
| Vision Today | Past | Accepting new patients | |
| My Eye Care LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Corneal and Contact Management Optometrist
- Olathe, KS
- NPI 1346451598
-
- Optometrist
- Overland Park, KS
- NPI 1083652044
-
- Optometrist
- Olathe, KS
- NPI 1295278604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1073559274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 CEDAR ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662241119",
"telephone_number": "913-307-9200",
"fax_number": "913-307-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12120 S STRANG LINE RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660625219",
"telephone_number": "913-307-9200",
"fax_number": "913-307-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIE",
"first_name": "MATTHEW",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "KS1599",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2000166654",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3482",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100423680A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.