Individual provider Active NPI

Edward Joseph Collins, MD

  • Ophthalmology Physician
  • Topeka, KS
National Provider Identifier
1477648699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0417207 Issued in KS
Practice address
1125 SW Gage Blvd
Suite B
Topeka, KS 66604-1774
Phone
(785) 273-8764
Fax
(785) 273-7851
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0417207 KS Primary

Addresses

Primary practice location

1125 SW Gage Blvd
Suite B
Topeka, KS 66604-1774

Mailing address

1125 SW Gage Blvd
Suite B
Topeka, KS 66604-1774
Phone (785) 273-8764

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000896 KS Practitioner - Ophthalmology 1951348531 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1125 SW Gage Blvd B
Topeka, KS 66604-2281
Phone (785) 295-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477648699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "SUITE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-273-8764",
            "fax_number": "785-273-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "SUITE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-273-8764",
            "fax_number": "785-273-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0417207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.