John Wesley Waren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

13893 Issued in KS

Practice address

2121 N Tyler Rd
Ste 302
Wichita, KS 67212-4900

Phone

(316) 729-8600

Fax

(316) 773-3160

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in 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

Specialty

Optometry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feltz Mobile Optometry LLCGroup PAC ID 0648551044, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as group

Quality

74.13

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wesley.waren.p7@direct.360care.nextgenshare.com

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.

• Feltz Mobile Optometry LLC

  • Optometrist
  • Lindsborg, KS
  • NPI 1316499460
  Medicare reassignment Care Compare group NPD
• John Wesley Waren

  • Optometrist
  • Wichita, KS
  • NPI 1770985780
  NPD (past) Authorized official
• Waren Optometry

  • Optometrist
  • Wichita, KS
  • NPI 1770613721
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1518006303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N TYLER",
            "address_2": "#302",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124900",
            "telephone_number": "316-729-8600",
            "fax_number": "316-773-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N TYLER RD",
            "address_2": "STE 302",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124900",
            "telephone_number": "316-729-8600",
            "fax_number": "316-773-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAREN",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "13893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "651030",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Warden, A.C.N.P.
• David Bertrand Warders, CPTA
• Melissa Dawn Warders, P.T.
• Danyelle Ware, LMSW
• Waren Optometry
• Madeline Warengo
• Marina De Moura Warkentien Amend, LMFT
• Janette Warne, MA,CCC,C SLP
• Katelynn Warne
• Terin Brooke Warne, RN, BSN

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.