Skahan Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SKAHAN EYECARE LLC

Practice address

115 N Maple St
Garnett, KS 66032-9405

Phone

(785) 448-6879

NPI assigned

Apr 3, 2022

Last updated

Apr 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Skahan, ODNPI 1528033677

Title

Owner

Phone

(620) 363-4341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Dennis Skahan, O.D.

  • Optometrist
  • Iola, KS
  • NPI 1528033677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648944000000",
    "number": "1730820986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N JEFFERSON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491831",
            "telephone_number": "620-363-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAPLE ST",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660329405",
            "telephone_number": "785-448-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAHAN EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A",
        "authorized_official_last_name": "SKAHAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-363-4341",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Lukes Hospital of Garnett Inc (Anderson County Hospital)
• Saint Lukes of Garnett Inc (Anderson County Hospital)
• Saint Lukes of Garnett Inc (Anderson County Hospital)
• Saint Lukes of Garnett Inc (Anderson County Hospital)
• Sandra L. Otipoby DDS
• Sally Amanda Skinner, OTR
• Casey Gene Smith, PHARM. D
• Southeast Kansas Multi-County Health Dept (SEK Multi-County Health Dept)
• Lori M Stafford, RPT
• Ekaterina V Sterkhova-Ortiz, LMLP

• Optometrist in Garnett, KS
• Providers in Garnett, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.