Active NPI
Terry R Carney OD PA
- Optometrist
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1255-3
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry Ray Carney, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306110077 | Other | KS | PALMETTO GBA GROUP NPI |
| KA2517 | Other | KS | MEDICARE PTAN |
| 1669402475 | Other | KS | INDIVIDUAL NPI |
| P01038533 | Other | KS | PALMETTO GBA INDIVIDUAL PTAN |
| 0669310001 | Other | KS | NORIDIAN PTAN |
| DS5255 | Other | KS | PALMETTO GBA GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Terry R Carney OD PA | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Topeka, KS
- NPI 1669402475
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.