Active NPI
Tyler Ohde, O.D.
- Optometrist
- Leawood, KS
National Provider Identifier
1104072107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1820
- Practice address
- 5020 W. 135TH Street
Leawood, KS 66209 - Phone
- (913) 239-9446
- NPI assigned
- Aug 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1820 | KS | Primary |
| Optometrist | 152W00000X | 2008024282 | MO |
Addresses
Primary practice location
5020 W. 135TH Street
Leawood, KS 66209
Mailing address
10826 N Richmond Ave
Kansas City, MO 64157-6800
Phone (913) 526-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650517002 | Other | KS | PTAN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5020 W 135TH St
Leawood, KS 66224-8703
Phone (913) 239-9446
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1820 | KS | MD | Optometrist |
| 2008024282 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Eyecare, P.a. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Leawood, KS
- NPI 1316203284
-
- Optometrist
- Overland Park, KS
- NPI 1750392643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1104072107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10826 N RICHMOND AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641576800",
"telephone_number": "913-526-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 W. 135TH STREET",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-239-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHDE",
"first_name": "TYLER",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1820",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2008024282",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "650517002",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.