Individual provider Active NPI

Kyle Brent Dotson, O.D.

  • Optometrist
  • Topeka, KS
National Provider Identifier
1174515985
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1135-3 Issued in KS
Practice address
2211 SE 29TH St
Topeka, KS 66605-2461
Phone
(785) 266-3240
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1135-3 KS Primary

Addresses

Primary practice location

2211 SE 29TH St
Topeka, KS 66605-2461

Mailing address

2211 SE 29TH St
Topeka, KS 66605-2461
Phone (785) 266-3240

Other identifiers 1

IdentifierTypeStateIssuer
5335OtherKSBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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
I20050330001227 KS Practitioner - Optometry 1254388440 Practice locations: Topeka, KS
O20100930083427 KS DME Supplier - Physician - Optometrist 6608993266 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 SE 29TH St
Topeka, KS 66605-2461
Phone (785) 266-3240

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cavanaugh Eye Center, PA Optometrist PastSince Apr 13, 2003 Accepting new patients

Organizations & group practices 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1174515985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052461",
            "telephone_number": "785-266-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052461",
            "telephone_number": "785-266-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "KYLE",
        "middle_name": "BRENT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1135-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5335",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.