Individual provider Active NPI

Jamie D McGowan, O.D.

  • Optometrist
  • Leawood, KS
National Provider Identifier
1235197617
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1686 Issued in KS
Practice address
4820 College Blvd
Leawood, KS 66211-1601
Phone
(913) 888-1888
Fax
(913) 888-1975
NPI assigned
May 3, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 1686 KS Primary

Addresses

Primary practice location

4820 College Blvd
Leawood, KS 66211-1601

Mailing address

4820 College Blvd
Leawood, KS 66211-1601
Phone (913) 888-1888

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
I20060621000265 KS Practitioner - Optometry 8527082700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milton B Grin MD PAGroup PAC ID 3870493752, 11 clinicians

Practice addresses (Care Compare)

13400 Briar Dr
Suite C
Leawood, KS 66209-3411
Phone (913) 829-5511

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1686KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milton B Grin MD PA CurrentSince Jun 5, 2017 Accepting new patients

Locations

13400 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 829-5511

21020 W 151st St
Olathe, KS 66061
Phone (913) 829-3283

1024 Main St
Grandview, MO 64030
Phone (816) 761-6337

Interoperability endpoints

  • Direct secure messaging: jmcgowan@grineyecare.emadirect.md

Organizations & group practices 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1235197617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111601",
            "telephone_number": "913-888-1888",
            "fax_number": "913-888-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111601",
            "telephone_number": "913-888-1888",
            "fax_number": "913-888-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "JAMIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.