Individual provider Active NPI

Macey Pruett, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1710463500
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2084 Issued in KS
Practice address
982 N Tyler Rd Ste a
Wichita, KS 67212-3271
Phone
(316) 722-6452
Fax
(316) 722-6001
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 2084 KS Primary

Addresses

Primary practice location

982 N Tyler Rd Ste a
Wichita, KS 67212-3271

Mailing address

540 N Doris St
Wichita, KS 67212-2431
Phone (316) 680-5346

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
I20180905000094 KS Practitioner - Optometry 7416207949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

Practice addresses (Care Compare)

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010

3910 N Ridge Rd
Wichita, KS 67205-7800
Phone (316) 721-2701

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 2, 2022 Accepting new patients
Ronald M. Jackson, O.D. Chartered Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 2, 2022 Accepting new patients

Locations

135 S Andover Rd
Andover, KS 67002
Phone (316) 733-4322

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

3910 N Ridge Rd
Wichita, KS 67205
Phone (316) 721-2701

982 N Tyler Rd
Ste A
Wichita, KS 67212
Phone (316) 722-6452

1401 Main St
Winfield, KS 67156
Phone (620) 221-0740

Interoperability endpoints

  • Direct secure messaging: macey.pruettod.p1@direct.gvg.nextgenshare.com

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": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1710463500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N DORIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122431",
            "telephone_number": "316-680-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 N TYLER RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123271",
            "telephone_number": "316-722-6452",
            "fax_number": "316-722-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "MACEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.