Active NPI
Katy Conway Ebert, O.D.
- Optometrist
- Salina, KS
National Provider Identifier
1386933554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2214
- Practice address
- 1000 E Cloud St
Salina, KS 67401-6416 - Phone
- (785) 493-5389
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2214 | MD | Primary |
Addresses
Primary practice location
1000 E Cloud St
Salina, KS 67401-6416
Mailing address
2483 Saint Andrews LN
Salina, KS 67401-7133
Phone (785) 493-5389
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Cloud St
Salina, KS 67401-6416
Phone 7858236391228
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1892 | KS | MD | Professional Counselor |
| TA2214 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Cooper & Banninger, LLC. | Optometrist | Current | Accepting new patients |
| DRS. Cooper & Banninger, LLC. | Optometrist | Past | Accepting new patients |
Locations
112 W Main St
Beloit, KS 67420
Phone (785) 569-0202
119 W 7th St
Concordia, KS 66901
Phone (785) 243-2175
1000 E Cloud St
Salina, KS 67401
Phone (785) 493-5389
Organizations & group practices 2
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.
-
- Optometrist
- Salina, KS
- NPI 1508861584
-
- Optometrist
- Beloit, KS
- NPI 1578535654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1386933554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 SAINT ANDREWS LN",
"city": "SALINA",
"state": "KS",
"postal_code": "674017133",
"telephone_number": "785-493-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E CLOUD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674016416",
"telephone_number": "785-493-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "KATY",
"middle_name": "CONWAY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.