Organization Active NPI

Terry R Carney OD PA

  • Optometrist
  • Topeka, KS
National Provider Identifier
1306110077
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1255-3 Issued in KS
Legal business name
TERRY R CARNEY OD PA
Practice address
2144 SW 36TH St
Topeka, KS 66611-2554
Phone
(785) 266-1100
Fax
(785) 266-2441
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Terry Ray Carney, ODNPI 1669402475
Title
Doctor of Optometry
Phone
(785) 266-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1255-3 KS Primary

Addresses

Primary practice location

2144 SW 36TH St
Topeka, KS 66611-2554

Mailing address

2144 SW 36TH St
Topeka, KS 66611-2554
Phone (785) 266-1100

Other identifiers 6

IdentifierTypeStateIssuer
1306110077OtherKSPALMETTO GBA GROUP NPI
KA2517OtherKSMEDICARE PTAN
1669402475OtherKSINDIVIDUAL NPI
P01038533OtherKSPALMETTO GBA INDIVIDUAL PTAN
0669310001OtherKSNORIDIAN PTAN
DS5255OtherKSPALMETTO GBA GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120322000692 KS Part B Supplier - Clinic/Group Practice 1355460775 Receives reassigned benefits from 1 practitioner
Practice locations: Topeka, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Terry R Carney OD PA2144 SW 36TH St, Topeka, KS 66611-2554(785) 266-1100 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Mar 30, 2012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1306110077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1100",
            "fax_number": "785-266-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1100",
            "fax_number": "785-266-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY R CARNEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "785-266-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1255-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP NPI",
            "identifier": "1306110077",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2517",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669402475",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA INDIVIDUAL PTAN",
            "identifier": "P01038533",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN PTAN",
            "identifier": "0669310001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP PTAN",
            "identifier": "DS5255",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.