Organization Active NPI

Norris and Kelly, P.a.

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1467440305
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1243-3 Issued in KS
Legal business name
NORRIS AND KELLY, P.A.
Practice address
2301 10TH Ave
Leavenworth, KS 66048-4214
Phone
(913) 682-2929
Fax
(913) 682-2999
NPI assigned
Oct 13, 2005
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Miss Kelly Skaggs
Title
Office Manager
Phone
(913) 682-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1243-3 KS Primary

Addresses

Primary practice location

2301 10TH Ave
Leavenworth, KS 66048-4214

Mailing address

2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050218000172 KS Part B Supplier - Clinic/Group Practice 5890747711 Receives reassigned benefits from 10 practitioners
Practice locations: Leavenworth, KS
O20100930006668 KS DME Supplier - Physician - OptometristDME Supplier - Optician 5890747711 Practice locations: Leavenworth, 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
Family Eyecare Center Leavenworth2301 10TH Ave, Leavenworth, KS 66048-4214(913) 682-2929 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2301 10th Ave
Leavenworth, KS 66048
Phone (913) 680-1365

724 Delaware St
Leavenworth, KS 66048
Phone (913) 642-9196

Practitioners & affiliated clinicians

Practitioners 11

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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1467440305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORRIS AND KELLY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-682-2929",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1243-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.