Individual provider Active NPI

Kenneth Earl Trummel

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1467682492
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1852 Issued in KS
Practice address
3111 W 6TH St
Lawrence, KS 66049-3101
Phone
(785) 749-2020
NPI assigned
Jul 24, 2009
Last updated
May 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1852 KS Primary

Addresses

Primary practice location

3111 W 6TH St
Lawrence, KS 66049-3101

Mailing address

3111 W 6TH St
Lawrence, KS 66049-3101
Phone (785) 749-2020

Other identifiers 1

IdentifierTypeStateIssuer
200617240AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000534 KS Practitioner - Optometry 6204974694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Family Vision Clinic P aGroup PAC ID 4587610043, 4 clinicians

Practice addresses (Care Compare)

3111 W 6TH St
Lawrence, KS 66049-3101
Phone (785) 749-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1852KSMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1467682492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-749-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-749-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMMEL",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200617240A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.