Active NPI
Kevin B. Cline, O.D.,FCOVD
- Vision Therapy Optometrist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1295
- Practice address
- 12111 W Maple St
Wichita, KS 67235-8755 - Phone
- (316) 942-7496
- Fax
- (316) 239-2557
- NPI assigned
- Aug 17, 2006
- Last updated
- May 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1295 | KS | |
| Pediatric Optometrist | 152WP0200X | 1295 | KS | |
| Vision Therapy Optometrist | 152WV0400X | 1295 | KS | Primary |
Addresses
Primary practice location
12111 W Maple St
Wichita, KS 67235-8755
Mailing address
415 SE Louis Dr
Mulvane, KS 67110-1205
Phone (316) 777-0022
Other practice location 1
415 SE Louis Dr
Mulvane, KS 67110-1205
Phone (316) 942-7496
Other practice location 2
2635 W Douglas Ave
Wichita, KS 67213-2605
Phone (316) 942-7496
Other practice location 3
2330 N Amidon Ave
Wichita, KS 67204-5630
Phone (316) 942-7496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100218790C | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2635 W Douglas Ave
Wichita, KS 67213-2605
Phone (316) 942-7496
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.45 of 100
- Quality
- 80.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Optometry, P.a. | Optometrist | Current | Accepting new patients |
| Wichita Optometry P.a. | Optometrist | Current | Accepting new patients |
| DRS Price Young Odle & Horsch PA | Optometrist | Past | Accepting new patients |
| DRS Price Young Odle & Horsch PA | Optometrist | Past | Accepting new patients |
Locations
415 SE Louis Dr
Mulvane, KS 67110
Phone (316) 777-0022
12111 W Maple St
Ste 125
Wichita, KS 67235
Phone (316) 832-0026
2330 N Amidon Ave
Wichita, KS 67204
Phone (316) 838-7797
2635 W Douglas Ave
Wichita, KS 67213
Phone (316) 942-7496
7015 E Central Ave
Ste 2
Wichita, KS 67206
Phone (316) 440-8800
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Wichita, KS
- NPI 1083676936
-
- Vision Therapy Optometrist
- Mulvane, KS
- NPI 1164597118
-
dba Wichita Vision Care
- Vision Therapy Optometrist
- Wichita, KS
- NPI 1922183151
-
- Optometrist
- Wichita, KS
- NPI 1821668799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1740393107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SE LOUIS DR",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101205",
"telephone_number": "316-777-0022",
"fax_number": "316-777-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12111 W MAPLE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672358755",
"telephone_number": "316-942-7496",
"fax_number": "316-239-2557"
}
],
"practiceLocations": [
{
"address_1": "415 SE Louis Dr",
"address_purpose": "LOCATION",
"city": "Mulvane",
"state": "KS",
"postal_code": "671101205",
"country_code": "US",
"telephone_number": "316-942-7496",
"fax_number": "316-942-7496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2635 W Douglas Ave",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672132605",
"country_code": "US",
"telephone_number": "316-942-7496",
"fax_number": "316-239-2557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2330 N Amidon Ave",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672045630",
"country_code": "US",
"telephone_number": "316-942-7496",
"fax_number": "316-239-2557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLINE",
"first_name": "KEVIN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.,FCOVD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1295",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "KS",
"license": "1295",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "KS",
"license": "1295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100218790C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.