Richard E Dean, OD
Individual provider Active NPI Optometrist · Tonganoxie, KS
NPI 1366548828 · NPPES record last updated Oct 21, 2016
Key facts
- NPI
- 1366548828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 992-6 (KS)
- Practice address
- 103 W 4TH St
Tonganoxie, KS 66086-9770 - Phone
- (913) 845-2030
- Fax
- (913) 845-9444
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
420 E 4TH St
Tonganoxie, KS 66086-9218
Phone (913) 845-2030
PO Box
Suite 970
Tonganoxie, KS 66086-0970
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 31 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330001060 | KS | Practitioner - Optometry | 9133175318 | Practice locations: Tonganoxie, KS |
| O20100930094569 | KS | DME Supplier - Physician - Optometrist | 3971620642 | Practice locations: Tonganoxie, KS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992-6 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonganoxie Eye Care LLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 992-6 | KS | Yes |
Addresses
Primary practice location
103 W 4TH St
Tonganoxie, KS 66086-9770
Mailing address
103 W 4TH St
Tonganoxie, KS 66086-9770
Phone (913) 845-2030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090660A | Medicaid | KS |
Other providers in Tonganoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.