Individual provider Active NPI

Katherine Painter, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1316145154
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1818 Issued in KS
Practice address
6575 W 119TH St
Overland Park, KS 66209-2001
Phone
(913) 696-0092
Fax
(913) 696-0095
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1818 KS Primary
Optometrist 152W00000X 2009002406 MO
Optometrist 152W00000X 002390 IA

Addresses

Primary practice location

6575 W 119TH St
Overland Park, KS 66209-2001

Mailing address

6575 W 119TH St
Overland Park, KS 66209-2001
Phone (913) 696-0092

Other names 1

  • Katherine Farris Former name

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
I20091009000056 KS Practitioner - Optometry 7012053747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kannarr Eye Care LLCGroup PAC ID 4688720790, 6 clinicians

Practice addresses (Care Compare)

2521 N Broadway St
Pittsburg, KS 66762-2620
Phone (620) 235-1737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1818KSMDOptometrist
2009002406MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Metro North Inc Optometrist Past Accepting new patients
Professional Eyecare Zona Rosa Inc. Optometrist Past Accepting new patients
Professional Eyecare - Fountains Inc Optometrist Past Accepting new patients
Zona Rosa Eyecare Inc Optometrist PastSince Jun 5, 2022 Accepting new patients
Wes Johnson OD PA Optometrist PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 6

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1316145154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092001",
            "telephone_number": "913-696-0092",
            "fax_number": "913-696-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092001",
            "telephone_number": "913-696-0092",
            "fax_number": "913-696-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "KATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1818",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009002406",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FARRIS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.