Individual provider Active NPI

Kirby Theron Treat Sr., O.D.

  • Optometrist
  • Worland, WY
National Provider Identifier
1497849053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270T Issued in WY
Practice address
316 N 10TH St
Worland, WY 82401
Phone
(307) 347-4151
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Optometrist 152W00000X 270T WY Primary

Addresses

Primary practice location

316 N 10TH St
Worland, WY 82401

Mailing address

PO Box 846
Worland, WY 82401
Phone (307) 347-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20080611000806 WY Practitioner - Optometry 3779654256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 S 12TH St
Worland, WY 82401-4007
Phone (307) 347-4151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Image Vision Care, P.C. Optometrist CurrentSince Mar 1, 2008 Accepting new patients
Curtis Optometric Clinic Optometrist PastSince Mar 9, 2008 Accepting new patients

Locations

316 N 10th St
Worland, WY 82401
Phone (307) 347-4151

610 S 12th St
Worland, WY 82401
Phone (307) 347-4151

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497849053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 10TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "82401",
            "telephone_number": "307-347-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAT",
        "first_name": "KIRBY",
        "middle_name": "THERON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "270T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

Verify at the official NPI Registry.