Individual provider Active NPI

Hannah Fann, OD

  • Optometrist
  • Olathe, KS
National Provider Identifier
1508446691
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2169 Issued in KS
Practice address
21020 W 151St St
Olathe, KS 66061-7200
Phone
(913) 829-5511
Fax
(913) 829-5571
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2022003682 MO
Optometrist 152W00000X 2169 KS Primary

Addresses

Primary practice location

21020 W 151St St
Olathe, KS 66061-7200

Mailing address

21020 W 151St St
Olathe, KS 66061-7200
Phone (913) 829-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220926001372 MO Practitioner - Optometry 3678959889 Reassigns benefits to 1 organization
I20220926001578 KS Practitioner - Optometry 3678959889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milton B Grin MD PAGroup PAC ID 3870493752, 11 clinicians

Practice addresses (Care Compare)

13400 Briar Dr
Suite C
Leawood, KS 66209-3411
Phone (913) 829-5511

21020 W 151St St
Olathe, KS 66061-7200

520 E 63Rd St
Grin Eye Care
Kansas City, MO 64110-3330
Phone (913) 829-5511

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2169KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milton B Grin MD PA CurrentSince Aug 1, 2022 Accepting new patients

Locations

13400 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 829-5511

21020 W 151st St
Olathe, KS 66061
Phone (913) 829-3283

520 E 63rd St
Kansas City, MO 64110
Phone (816) 333-8600

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1508446691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617200",
            "telephone_number": "913-829-5511",
            "fax_number": "913-829-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617200",
            "telephone_number": "913-829-5511",
            "fax_number": "913-829-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANN",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2022003682",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.