Individual provider Active NPI

Alan J McCormick, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1194760942
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1574 Issued in KS
Practice address
5231 E Central Ave
Suite D
Wichita, KS 67208-4195
Phone
(316) 683-6870
Fax
(316) 683-6873
NPI assigned
Jun 17, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1574 KS Primary

Addresses

Primary practice location

5231 E Central Ave
Suite D
Wichita, KS 67208-4195

Mailing address

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 858-3831

Other identifiers 6

IdentifierTypeStateIssuer
100371210AMedicaidKS
202927OtherKSHPK
650762OtherKSBCBS
17016OtherKSCOVENTRY
12149431OtherKSMULTIPLAN
12973OtherKSPHS

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
I20100225000898 KS Practitioner - Optometry 4284778465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

Practice addresses (Care Compare)

1277 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 722-8883

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Sep 1, 2016 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Sep 1, 2016 Accepting new patients

Locations

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

5231 E Central Ave
Ste D
Wichita, KS 67208
Phone (316) 683-6870

Interoperability endpoints

  • Direct secure messaging: alan.mccormick.p1@direct.gvg.nextgenshare.com

Organizations & group practices 4

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1194760942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-858-3831",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 E CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084195",
            "telephone_number": "316-683-6870",
            "fax_number": "316-683-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100371210A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "202927",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650762",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "17016",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12149431",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "12973",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.