Individual provider Active NPI

Mark Andrew Abrahams, O.D.

  • Optometrist
  • McPherson, KS
National Provider Identifier
1497160832
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1969 Issued in KS
Practice address
100 W Kansas Ave Ste 202
McPherson, KS 67460-4755
Phone
(620) 241-5810
Fax
(620) 216-8041
NPI assigned
Jun 24, 2014
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1969 KS Primary

Addresses

Primary practice location

100 W Kansas Ave Ste 202
McPherson, KS 67460-4755

Mailing address

100 W Kansas Ave Ste 202
McPherson, KS 67460-4755
Phone (620) 241-5810

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
I20141006000944 KS Practitioner - Optometry 9931329448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Eyecare IncGroup PAC ID 4789992603, 2 clinicians

Practice addresses (Care Compare)

132 S Main St
Hillsboro, KS 67063-1526
Phone (620) 947-5631

Merit-based Incentive Payment System (MIPS)

Final score
15.83 of 100Reported as individual
Quality
31.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Eyecare Inc Optometrist CurrentSince Aug 21, 2015 Accepting new patients

Locations

607 E Randall St
Hesston, KS 67062
Phone (620) 327-2800

132 S Main St
Hillsboro, KS 67063
Phone (620) 647-5631

100 W Kansas Ave
Ste 202
McPherson, KS 67460
Phone (620) 241-5810

115 E Marlin St
Ste 106
McPherson, KS 67460
Phone (620) 241-5810

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1497160832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KANSAS AVE STE 202",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604755",
            "telephone_number": "620-241-5810",
            "fax_number": "620-216-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KANSAS AVE STE 202",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604755",
            "telephone_number": "620-241-5810",
            "fax_number": "620-216-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMS",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.