Individual provider Active NPI

Cody L Hoss, O.D.

  • Optometrist
  • Haysville, KS
National Provider Identifier
1144508797
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1898 Issued in KS
Practice address
1425 W Grand Ave
Suite 111
Haysville, KS 67060-1269
Phone
(316) 858-4558
NPI assigned
Aug 1, 2011
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1898 KS Primary

Addresses

Primary practice location

1425 W Grand Ave
Suite 111
Haysville, KS 67060-1269

Mailing address

1425 W Grand Ave
Ste 111
Haysville, KS 67060-1270
Phone (316) 253-8653

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000460 KS Practitioner - Optometry 6709055429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 W Grand Ave
Suite 111
Haysville, KS 67060-1270
Phone (316) 858-4558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1898KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cody L Hoss O.D. LLC Optometrist CurrentSince Apr 22, 2013 Accepting new patients
Freeman Eyecare, P.a. Optometrist Past Accepting new patients

Locations

1425 W Grand Ave
Ste 111
Haysville, KS 67060
Phone (316) 858-4558

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, 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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1144508797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W GRAND AVE",
            "address_2": "STE 111",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601270",
            "telephone_number": "316-253-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W GRAND AVE",
            "address_2": "SUITE 111",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601269",
            "telephone_number": "316-858-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSS",
        "first_name": "CODY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haysville, KS

Sources for this page

Verify at the official NPI Registry.