Individual provider Active NPI

Mark S Norris, OD

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1104827948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1243-3 Issued in KS
Practice address
2301 10TH Ave
Leavenworth, KS 66048-4214
Phone
(913) 682-2929
Fax
(913) 682-2999
NPI assigned
Aug 2, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1243-3 KS Primary

Addresses

Primary practice location

2301 10TH Ave
Leavenworth, KS 66048-4214

Mailing address

2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandotte Family Eyecare Center, LLC Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Norris and Kelly, P.a. Optometrist CurrentSince Sep 18, 2000 Accepting new patients
Family Eyecare Center of Bonner Springs LLC Optometrist CurrentSince Dec 5, 2015 Accepting new patients

Locations

13047 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 441-4050

21 N 12th St
Ste 102
Kansas City, KS 66102
Phone (913) 342-4405

2301 10th Ave
Leavenworth, KS 66048
Phone (913) 680-1365

724 Delaware St
Leavenworth, KS 66048
Phone (913) 642-9196

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104827948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1243-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.