Individual provider Active NPI

Diane Marie Galbrecht, OD

  • Optometrist
  • Olathe, KS
National Provider Identifier
1174623532
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1771 Issued in KS
Practice address
395 N K 7 Hwy
Olathe, KS 66061-8901
Phone
(913) 764-9300
Fax
(913) 764-9308
NPI assigned
Sep 25, 2006
Last updated
Jun 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006026260 MO
Optometrist 152W00000X 1771 KS Primary
Pediatric Optometrist 152WP0200X 2006026260 MO
Pediatric Optometrist 152WP0200X 1771 KS

Addresses

Primary practice location

395 N K 7 Hwy
Olathe, KS 66061-8901

Mailing address

395 N K 7 Hwy
Olathe, KS 66061-8901
Phone (913) 764-9300

Other identifiers 1

IdentifierTypeStateIssuer
200585870AMedicaidKS

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
I20080731000646 KS Practitioner - Optometry 3870593494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

395 N K7 Hwy
Olathe, KS 66061-3209
Phone (913) 764-9300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1771KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Galbrecht Eyecare LLC CurrentSince May 22, 2008 Accepting new patients

Locations

395 N K 7 Hwy
Olathe, KS 66061
Phone (913) 764-7165

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, 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1174623532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N K 7 HWY",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618901",
            "telephone_number": "913-764-9300",
            "fax_number": "913-764-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N K 7 HWY",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618901",
            "telephone_number": "913-764-9300",
            "fax_number": "913-764-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRECHT",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006026260",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1771",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "2006026260",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200585870A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.