Individual provider Active NPI

Jill Dorsey, O.D.

  • Optometrist
  • Olathe, KS
National Provider Identifier
1295118677
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2003 Issued in KS
Practice address
1295 E 151St St
Suite 3
Olathe, KS 66062-3406
Phone
(913) 782-4983
Fax
(913) 390-5663
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2003 KS Primary

Addresses

Primary practice location

1295 E 151St St
Suite 3
Olathe, KS 66062-3406

Mailing address

1295 E 151St St
Suite 3
Olathe, KS 66062-3406
Phone (913) 782-4983

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
I20150819006480 KS Practitioner - Optometry 2961717046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limestone Eye Care LLCGroup PAC ID 2769803022, 2 clinicians

Practice addresses (Care Compare)

4320 W 6TH St
Suite 103
Lawrence, KS 66049-3613
Phone (785) 842-1242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limestone Eye Care LLC Optometrist CurrentSince Jun 27, 2024 Accepting new patients
Wes Johnson OD PA Optometrist CurrentSince May 12, 2017 Accepting new patients
Professional Eyecare - Fountains Inc Optometrist Past Accepting new patients

Locations

4320 W 6th St
Ste 103
Lawrence, KS 66049
Phone (785) 842-1242

6575 W 119th St
Overland Park, KS 66209
Phone (913) 696-0092

9216 Metcalf Ave
#A
Overland Park, KS 66212
Phone (913) 387-4134

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1295118677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST",
            "address_2": "SUITE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623406",
            "telephone_number": "913-782-4983",
            "fax_number": "913-390-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST",
            "address_2": "SUITE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623406",
            "telephone_number": "913-782-4983",
            "fax_number": "913-390-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "JILL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.