Organization Active NPI

Kevin Crawford OD and Jeff Weltmer OD PA

  • Optometrist
  • Olathe, KS
National Provider Identifier
1659566271
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043-2 Issued in KS
Legal business name
KEVIN CRAWFORD OD AND JEFF WELTMER OD PA
Practice address
1295 E 151St St Ste 3
Olathe, KS 66062-3429
Phone
(913) 782-4983
Fax
(913) 390-5663
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Anne Alexander
Title
Reception
Phone
(913) 782-4983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1043-2 KS Primary

Addresses

Primary practice location

1295 E 151St St Ste 3
Olathe, KS 66062-3429

Mailing address

1295 E 151St St Ste 3
Olathe, KS 66062-3429
Phone (913) 782-4983

Other identifiers 3

IdentifierTypeStateIssuer
0477880001OtherMEDICARE PTAN
1932131174OtherRAILROAD MEDICARE GROUP NPI
410046592OtherRAILROAD GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000634 KS Part B Supplier - Clinic/Group Practice 2163574971 Receives reassigned benefits from 1 practitioner
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

1295 E 151st St
Ste 3
Olathe, KS 66062
Phone (913) 782-4983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1659566271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST STE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623429",
            "telephone_number": "913-782-4983",
            "fax_number": "913-390-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST STE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623429",
            "telephone_number": "913-782-4983",
            "fax_number": "913-390-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CRAWFORD OD AND JEFF WELTMER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "RECEPTION",
        "authorized_official_telephone_number": "913-782-4983"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1043-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0477880001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NPI",
            "identifier": "1932131174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PTAN",
            "identifier": "410046592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.