Individual provider Active NPI

Heidi Nicole Ensley, O.D.

  • Optometrist
  • Arkansas City, KS
National Provider Identifier
1225385644
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1916 Issued in KS
Practice address
2508 Edgemont Dr
Ste 6
Arkansas City, KS 67005-3854
Phone
(620) 442-2577
Fax
(620) 442-2578
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1916 KS Primary

Addresses

Primary practice location

2508 Edgemont Dr
Ste 6
Arkansas City, KS 67005-3854

Mailing address

2508 Edgemont Dr
Ste 6
Arkansas City, KS 67005-3854
Phone (620) 442-2577

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
I20121029000716 KS Practitioner - Optometry 1355591355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
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 surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tran, Majher and Shaw, O.D., P.a. Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Tran, Majher and Shaw, OD,PA Optometrist Current 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

2720 E 21st St N
Wichita, KS 67214
Phone (316) 686-6063

Interoperability endpoints

  • Direct secure messaging: heidi.ensley@khindirect.org
  • Direct secure messaging: hensley@tmseyecare.eyefinity-direct.com

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, 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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1225385644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR",
            "address_2": "STE 6",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053854",
            "telephone_number": "620-442-2577",
            "fax_number": "620-442-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 EDGEMONT DR",
            "address_2": "STE 6",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670053854",
            "telephone_number": "620-442-2577",
            "fax_number": "620-442-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLEY",
        "first_name": "HEIDI",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

Verify at the official NPI Registry.