Organization Active NPI

Garden City Optometrists, P.a.

  • Optometrist
  • Garden City, KS
National Provider Identifier
1386633923
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARDEN CITY OPTOMETRISTS, P.A.
Practice address
707 E Kansas PLZ
Garden City, KS 67846-5866
Phone
(620) 276-3381
Fax
(620) 275-7507
NPI assigned
Oct 17, 2005
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Ms. Roxie L Pitts
Title
Administrator
Phone
(620) 276-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS Primary

Addresses

Primary practice location

707 E Kansas PLZ
Garden City, KS 67846-5866

Mailing address

707 E Kansas PLZ
Garden City, KS 67846-5866
Phone (620) 276-3381

Other identifiers 1

IdentifierTypeStateIssuer
200358140AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000404 KS Part B Supplier - Clinic/Group Practice 0244139640 Receives reassigned benefits from 3 practitioners
Practice locations: Garden City, KS
O20100930053069 KS DME Supplier - Physician - OptometristDME Supplier - Optician 0244139640 Practice locations: Garden City, KS

National Provider Directory

National Provider Directory

Locations

2602 N Cherokee Rd
Garden City, KS 67846
Phone (620) 276-3381

707 E Kansas Plz
Garden City, KS 67846
Phone (620) 275-7507

211 E Earl St
Leoti, KS 67861
Phone (620) 375-2222

Practitioners & affiliated clinicians

Practitioners 9

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1386633923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465866",
            "telephone_number": "620-276-3381",
            "fax_number": "620-275-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465866",
            "telephone_number": "620-276-3381",
            "fax_number": "620-275-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY OPTOMETRISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "ROXIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-276-3381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200358140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.