Organization Active NPI

Newman Vision Care LLC

  • Optometrist
  • Goodland, KS
National Provider Identifier
1457406563
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1626 Issued in KS
Legal business name
NEWMAN VISION CARE LLC
Practice address
919 Main St
Goodland, KS 67735-2940
Phone
(785) 890-3937
Fax
(785) 890-3938
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Ryan Joseph NewmanNPI 1255486213
Title
Owner
Phone
(785) 890-3937

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1626 KS Primary

Addresses

Primary practice location

919 Main St
Goodland, KS 67735-2940

Mailing address

919 Main St
Goodland, KS 67735-2940
Phone (785) 890-3937

Other identifiers 2

IdentifierTypeStateIssuer
DH0576OtherKSRAILROAD MEDICARE PART B
200255000BMedicaidKS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070405000191 KS Part B Supplier - Clinic/Group Practice 6103920855 Receives reassigned benefits from 1 practitioner
Practice locations: Goodland, KS; Hays, KS
O20100930017681 KS DME Supplier - Physician - OptometristDME Supplier - Optician 6103920855 Practice locations: Goodland, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Newman Vision Care LLC919 Main Ave, Goodland, KS 67735-2940(785) 890-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 15, 2007

National Provider Directory

National Provider Directory

Locations

919 Main Ave
Goodland, KS 67735
Phone (785) 890-3937

1905 E 17th Ave
Ste 700
Hutchinson, KS 67501
Phone (785) 890-3937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1457406563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MAIN ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352940",
            "telephone_number": "785-890-3937",
            "fax_number": "785-890-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MAIN ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352940",
            "telephone_number": "785-890-3937",
            "fax_number": "785-890-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-890-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DH0576",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255000B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.