Individual provider Active NPI

William Colton Cheek, OD

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1649890930
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2819 Issued in AR
Practice address
8300 College Blvd
Overland Park, KS 66210-1913
Phone
(913) 491-3330
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 3060 OK
Optometrist 152W00000X 2819 AR Primary

Addresses

Primary practice location

8300 College Blvd
Overland Park, KS 66210-1913

Mailing address

1477 E Masonic Dr
Fayetteville, AR 72703-5147

Other practice location 1

1100 N College Ave
Fayetteville, AR 72703-1944
Phone (479) 443-4301

Other practice location 2

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone (918) 444-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000169 TX Practitioner - Optometry 4688093487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

4401 Martin Luther King Blvd
Houston, TX 77204-2020
Phone (713) 743-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11128TXMDAddiction (Substance Use Disorder) Counselor
2819ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System Optometrist CurrentSince Jun 12, 2024 Accepting new patients
Durrie Vision, PA Optometrist PastSince Nov 24, 2019 Accepting new patients
Refractive Cataract Center, LLC PastSince Nov 10, 2019 Accepting new patients

Locations

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1649890930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 E MASONIC DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101913",
            "telephone_number": "913-491-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031944",
            "country_code": "US",
            "telephone_number": "479-443-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744647017",
            "country_code": "US",
            "telephone_number": "918-444-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "WILLIAM",
        "middle_name": "COLTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3060",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.