Dr. Douglas D. Ayre, Optometrist, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. DOUGLAS D. AYRE, OPTOMETRIST, PA

Doing business as

Eyecare of Great Bend

Practice address

713 McKinley
Great Bend, KS 67530

Phone

(620) 792-3535

Fax

(620) 792-3534

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Duane AyreNPI 1821066671

Title

President

Phone

(620) 285-2105

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eyecare of Great Bend Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr. Douglas D. Ayre Optometrist P a

  dba Larned Eye Health

  • Optometrist
  • Larned, KS
  • NPI 1710098892

  O20041102000984

  Same enrollment

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Duane Ayre, O.D.

  • Optometrist
  • Larned, KS
  • NPI 1821066671
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey Danielle Elliott, OD

  • Optometrist
  • Great Bend, KS
  • NPI 1114585122
  Medicare reassignment Care Compare group NPD
• Reed Allan McAtee, OD

  • Optometrist
  • Great Bend, KS
  • NPI 1003346032
  Medicare reassignment NPD
• Gregory F Copeland, OD

  • Optometrist
  • Ulysses, KS
  • NPI 1407811466
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1184728776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MCKINLEY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-3535",
            "fax_number": "620-792-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MCKINLEY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-792-3535",
            "fax_number": "620-792-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOUGLAS D. AYRE, OPTOMETRIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "AYRE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-285-2105",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281500E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001160A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare of Great Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.