Individual provider Active NPI

Kathleen Viola Ammel, O.D.

  • Optometrist
  • Ottawa, KS
National Provider Identifier
1528027372
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1729 Issued in KS
Practice address
2101 S Princeton St
Suite #100
Ottawa, KS 66067-4007
Phone
(785) 242-7300
NPI assigned
Mar 21, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 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 18002796B IN
Optometrist 152W00000X 1729 KS Primary

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 3

IdentifierTypeStateIssuer
200400380AMedicaidKS
11357975OtherCAQH
200320070MedicaidIN

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
I20060913000132 KS Practitioner - Optometry 0042204885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ammel Optometry, LLCGroup PAC ID 4789747692, 2 clinicians

Practice addresses (Care Compare)

2101 S Princeton St
Suite 100
Ottawa, KS 66067-4007
Phone (785) 242-7300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1729KSMDRegistered Dietitian
18002796BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ammel Optometry, LLC Optometrist CurrentSince Aug 14, 2006 Accepting new patients
Visionquest Eyecare, PC Optometrist PastSince Jul 27, 2026 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

Organizations & group practices 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1528027372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ATCHISON CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473950",
            "telephone_number": "785-727-9759",
            "fax_number": "785-242-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S PRINCETON ST",
            "address_2": "SUITE #100",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660674007",
            "telephone_number": "785-242-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Bob Billings Pkwy Ste 9",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660492949",
            "country_code": "US",
            "telephone_number": "785-749-1010",
            "fax_number": "785-749-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMEL",
        "first_name": "KATHLEEN",
        "middle_name": "VIOLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002796B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200400380A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11357975",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.