Individual provider Active NPI

Cori A Dorrell, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1538050679
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2241 Issued in KS
Practice address
437 N Tyler Rd
Wichita, KS 67212-3630
Phone
(316) 722-1001
Fax
(316) 221-2785
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2241 KS Primary

Addresses

Primary practice location

437 N Tyler Rd
Wichita, KS 67212-3630

Mailing address

437 N Tyler Rd
Wichita, KS 67212-3630
Phone (316) 722-1001

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
I20250731003380 KS Practitioner - Optometry 4486162500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Family Vision Clinic, P.a. 6 clinicians

Practice addresses (Care Compare)

437 N Tyler Rd
Wichita, KS 67212-3630
Phone (316) 722-1001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2241KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Family Vision Clinic, P.a. Optometrist CurrentSince Jul 18, 2025 Accepting new patients

Locations

437 N Tyler Rd
Wichita, KS 67212
Phone (316) 722-1001

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1538050679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123630",
            "telephone_number": "316-722-1001",
            "fax_number": "316-221-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123630",
            "telephone_number": "316-722-1001",
            "fax_number": "316-221-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRELL",
        "first_name": "CORI",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.