Individual provider Active NPI

Andrea Renee Chancey, O.D.

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1164861530
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1962 Issued in KS
Practice address
2720 S 4TH St
Leavenworth, KS 66048-4571
Phone
(913) 651-3344
Fax
(913) 651-1029
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1962 KS Primary

Addresses

Primary practice location

2720 S 4TH St
Leavenworth, KS 66048-4571

Mailing address

PO Box 207293
Dallas, TX 75320-7255
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130801000068 MO Practitioner - Optometry 1658512785 Reassigns benefits to 1 organization
I20130820000729 KS Practitioner - Optometry 1658512785 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Inc Optometrist CurrentSince Jun 4, 2019 Accepting new patients
Clarkson Optometry, Inc Optometrist CurrentSince Jun 4, 2019 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Dec 1, 2018 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Wes Johnson OD PA Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Professional Eyecare - Fountains Inc Optometrist Past Accepting new patients

Locations

109 S 6th St
Ste A
Hiawatha, KS 66434
Phone (785) 742-3631

2720 S 4th St
Leavenworth, KS 66048
Phone (913) 651-3344

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

9216 Metcalf Ave
#A
Overland Park, KS 66212
Phone (913) 387-4134

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

2925 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 364-0450

Interoperability endpoints

  • Direct secure messaging: andreachancey@direct.eyecare-partners.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1164861530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207293",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207255",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484571",
            "telephone_number": "913-651-3344",
            "fax_number": "913-651-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCEY",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.