Grant K Gwinner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1950 Issued in KS

Practice address

801 E 3Rd St
Suite a
Ellsworth, KS 67439-4224

Phone

(785) 472-3272

Fax

(785) 472-3360

NPI assigned

Jul 11, 2013

Last updated

Jul 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylegwinnerod@drgwinner.direct.eyemdemr.com

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.

• Kyle Gwinner OD LLC

  • Optometrist
  • Ellsworth, KS
  • NPI 1609918523
  Medicare reassignment NPD
• G Derril Gwinner OD LLC

  • Optometrist
  • Ellsworth, KS
  • NPI 1144495490
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1083055651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 3RD ST",
            "address_2": "SUITE A",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674394224",
            "telephone_number": "785-472-3272",
            "fax_number": "785-472-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 3RD ST",
            "address_2": "SUITE A",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674394224",
            "telephone_number": "785-472-3272",
            "fax_number": "785-472-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINNER",
        "first_name": "GRANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellsworth Medical Clinic
• F & M Drugs L L C (F & M Drug LLC)
• Kate E Flint, RDN, CD
• G Derril Gwinner OD LLC
• Grant Derril Gwinner, O.D.
• Christena Hanson, RPAC
• Mackenzie Leigh Helman
• Mark A. Herzog, D.D.S, P.A.
• Ashley Marie Hlad, MSN, APRN, FNP-C
• Sheri Jonsson, MS, RD, LD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.