Individual provider Active NPI

Genare C Woofter, OD

  • Optometrist
  • Manhattan, KS
National Provider Identifier
1710500384
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2134 Issued in KS
Practice address
1640 Charles PL Ste 103
Manhattan, KS 66502-2868
Phone
(785) 776-9461
Fax
(785) 776-9946
NPI assigned
May 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2134 KS Primary

Addresses

Primary practice location

1640 Charles PL Ste 103
Manhattan, KS 66502-2868

Mailing address

1640 Charles PL Ste 103
Manhattan, KS 66502-2868
Phone (785) 776-9461

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
I20200717001068 KS Practitioner - Optometry 7810311297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Manhattan, P.a.Group PAC ID 6507947207, 2 clinicians

Practice addresses (Care Compare)

1640 Charles PL
Suite 103
Manhattan, KS 66502-2868
Phone (785) 776-9461

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1710500384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CHARLES PL STE 103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022868",
            "telephone_number": "785-776-9461",
            "fax_number": "785-776-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CHARLES PL STE 103",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022868",
            "telephone_number": "785-776-9461",
            "fax_number": "785-776-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOFTER",
        "first_name": "GENARE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.