Organization Active NPI

Feltz Mobile Optometry LLC

  • Optometrist
  • Lindsborg, KS
National Provider Identifier
1316499460
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2045 Issued in KS
Legal business name
FELTZ MOBILE OPTOMETRY LLC
Practice address
321 N Chestnut St
Lindsborg, KS 67456-1904
Phone
(785) 227-2334
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Andrew Feltz, ODNPI 1225037393
Title
Owner
Phone
(855) 259-9183

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
Optometrist 152W00000X 2045 KS Primary

Addresses

Primary practice location

321 N Chestnut St
Lindsborg, KS 67456-1904

Mailing address

12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-1593
Phone (855) 259-9183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161222001401 KS Part B Supplier - Clinic/Group Practice 0648551044 Receives reassigned benefits from 6 practitioners
Practice locations: Bucklin, KS; Wichita, KS; Ulysses, KS; Topeka, KS; Syracuse, KS; Scott City, KS; Parsons, KS; Osage City, KS…

National Provider Directory

National Provider Directory

Locations

501 W Beeson Rd
Dodge City, KS 67801
Phone (620) 227-7512

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1316499460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431593",
            "telephone_number": "855-259-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N CHESTNUT ST",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "674561904",
            "telephone_number": "785-227-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTZ MOBILE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "FELTZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-259-9183",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsborg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.