Kathleen Viola Ammel, O.D.
Individual provider Active NPI Optometrist · Ottawa, KS
NPI 1528027372 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1528027372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1729 (KS)
- Practice address
- 2101 S Princeton St
Suite #100
Ottawa, KS 66067-4007 - Phone
- (785) 242-7300
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ammel Optometry, LLC
Practice addresses (Care Compare)
2101 S Princeton St
Suite 100
Ottawa, KS 66067-4007
Phone (785) 242-7300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060913000132 | KS | Practitioner - Optometry | 0042204885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1729 | KS | MD | Registered Dietitian |
| 18002796B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ammel Optometry, LLC | Optometrist | Current |
Accepting new patients |
| Visionquest Eyecare PC | Optometrist | Past |
Accepting new patients |
| Flory Optometry, PA | Optometrist | Past | Accepting new patients |
Locations
3300 Bob Billings Pkwy
Ste 9
Lawrence, KS 66049
Phone (785) 749-1010
2101 S Princeton St
Ste 100
Ottawa, KS 66067
Phone (785) 242-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002796B | IN | |
| Optometrist | 152W00000X | 1729 | KS | Yes |
Addresses
Primary practice location
2101 S Princeton St
Suite #100
Ottawa, KS 66067-4007
Mailing address
2901 Atchison Cir
Lawrence, KS 66047-3950
Phone (785) 727-9759
Other practice location 1
3300 Bob Billings Pkwy Ste 9
Lawrence, KS 66049-2949
Phone (785) 749-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11357975 | Other | CAQH | |
| 200320070 | Medicaid | IN | |
| 200400380A | Medicaid | KS |
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.