Individual provider Active NPI

Kyle A. Weeden, OD

  • Optometrist
  • Topeka, KS
National Provider Identifier
1669600136
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1830 Issued in KS
Practice address
2008 SW Gage Blvd
Topeka, KS 66604-3340
Phone
(785) 354-8383
Fax
(785) 354-8386
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS1830 KS Primary

Addresses

Primary practice location

2008 SW Gage Blvd
Topeka, KS 66604-3340

Mailing address

247 SE Main St
Lees Summit, MO 64063-2331
Phone (816) 434-5858

Other identifiers 3

IdentifierTypeStateIssuer
P00796972OtherKSRAILROAD MEDICARE
DF9773OtherKSGROUP RAILROAD MEDICARE NUMBER
1124043021OtherKSGROUP NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150921001789 MO Practitioner - Optometry 1850445313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cokingtin Eye Center PAGroup PAC ID 9739182841, 9 clinicians

Practice addresses (Care Compare)

506 Burkarth Rd
Suite a
Warrensburg, MO 64093-3180
Phone (660) 747-2202

Merit-based Incentive Payment System (MIPS)

Final score
80.99 of 100Reported as group
Quality
69.1
Improvement activities
40
Cost
77.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1830KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cokingtin Eye Center PA CurrentSince Jan 1, 2017 Accepting new patients
Cokingtin Eye Center PA CurrentSince Jan 1, 2017 Accepting new patients
Cokingtin Eye Center PA Past Accepting new patients

Locations

1204 Winchester Dr
Sedalia, MO 65301
Phone (660) 827-7000

506 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 747-2202

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-cec

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1669600136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632331",
            "telephone_number": "816-434-5858",
            "fax_number": "816-434-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043340",
            "telephone_number": "785-354-8383",
            "fax_number": "785-354-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "KYLE",
        "middle_name": "A.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00796972",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE NUMBER",
            "identifier": "DF9773",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1124043021",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.