Individual provider Active NPI

Thomas R. Lentz, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1225138332
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1087-3 Issued in KS
Practice address
1223 N Rock Rd
BLDG C
Wichita, KS 67206-1277
Phone
(316) 634-2020
Fax
(316) 634-2025
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1087-3 KS Primary

Addresses

Primary practice location

1223 N Rock Rd
BLDG C
Wichita, KS 67206-1277

Mailing address

1223 N Rock Rd
BLDG C
Wichita, KS 67206-1277
Phone (316) 634-2020

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
I20050329001029 KS Practitioner - Optometry 6406757764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lentz Enterprises, LLCGroup PAC ID 9830131861, 5 clinicians

Practice addresses (Care Compare)

1223 N Rock Rd
BLDG C
Wichita, KS 67206-1277

1223 N Rock Rd BLDG C
Wichita, KS 67206-1277

3333 N Ridge Rd
Wichita, KS 67205-1203
Phone (316) 201-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1087-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lentz Enterprises LLC Optometrist CurrentSince Jan 13, 1998 Accepting new patients
Lentz Enterprises, LLC Optometrist CurrentSince Jan 13, 1998 Accepting new patients
Lentz & Baker Eye Care, PA Optometrist PastSince Jan 1, 1984 Accepting new patients

Locations

120 W 6th St
Ste 185
Newton, KS 67114
Phone (316) 283-2112

1223 N Rock Rd
Bldg C
Wichita, KS 67206
Phone (316) 634-2020

3333 N Ridge Rd
Wichita, KS 67205
Phone (316) 201-4600

Organizations & group practices 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1225138332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061277",
            "telephone_number": "316-634-2020",
            "fax_number": "316-634-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061277",
            "telephone_number": "316-634-2020",
            "fax_number": "316-634-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1087-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.