Individual provider Active NPI

Michael Anthony Hausmann Jr., O.D.

  • Optometrist
  • Garden City, KS
National Provider Identifier
1497958227
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1996 Issued in KS
Practice address
707 E Kansas PLZ
Garden City, KS 67846-5866
Phone
(620) 276-3381
Fax
(620) 275-7507
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1996 KS Primary

Addresses

Primary practice location

707 E Kansas PLZ
Garden City, KS 67846-5866

Mailing address

1005 N 4TH St
Garden City, KS 67846-5631
Phone (402) 326-8802

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
I20150501001155 KS Practitioner - Optometry 9931294105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden City Optometrists PAGroup PAC ID 0244139640, 3 clinicians

Practice addresses (Care Compare)

2602 N Cherokee Rd
Garden City, KS 67846-4707
Phone (620) 276-3381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1996KSMDOptometrist

Interoperability endpoints

  • Direct secure messaging: michael.hausmann@khindirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1497958227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N 4TH ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465631",
            "telephone_number": "402-326-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465866",
            "telephone_number": "620-276-3381",
            "fax_number": "620-275-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.