Individual provider Active NPI

Madeline Smith, OD

  • Optometrist
  • Arkansas City, KS
National Provider Identifier
1205516143
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2199 Issued in KS
Practice address
2508 Edgemont Dr Ste 6
Arkansas City, KS 67005-3844
Phone
(620) 442-2577
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2199 KS Primary

Addresses

Primary practice location

2508 Edgemont Dr Ste 6
Arkansas City, KS 67005-3844

Mailing address

10531 E 21St St N
Wichita, KS 67206-3582
Phone (316) 686-6063

Other practice location 1

10531 E 21st St N
Wichita, KS 67206-3582
Phone (316) 686-6063

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
I20230811000216 KS Practitioner - Optometry 1355703109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tran Majher and Shaw OD PAGroup PAC ID 6901883313, 5 clinicians

Practice addresses (Care Compare)

2508 Edgemont Dr
Suite 6
Arkansas City, KS 67005-3844
Phone (620) 442-2577

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2199KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tran, Majher and Shaw, O.D., P.a. Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Tran, Majher and Shaw, OD,PA Optometrist Current Accepting new patients
Tran Majher and Shaw O.D. P.a. Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Tran, Majher and Shaw, OD, PA Optometrist Past Accepting new patients

Locations

2508 Edgemont Dr
Ste 6
Arkansas City, KS 67005
Phone (620) 442-2577

10531 E 21st St N
Wichita, KS 67206
Phone (316) 686-6063

2251 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 686-6063

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25155/brand/1/csg/1/fhir/r4

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1205516143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063582",
            "telephone_number": "316-686-6063",
            "fax_number": "316-686-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR STE 6",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053844",
            "telephone_number": "620-442-2577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10531 E 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063582",
            "country_code": "US",
            "telephone_number": "316-686-6063",
            "fax_number": "316-686-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADELINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

Verify at the official NPI Registry.