Active NPI
Mallory Kuhlmann Kuchem, O.D., M.S.
- Optometrist
- Prairie Village, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1936
- Practice address
- 7400 State Line Rd
Prairie Village, KS 66208-3444 - Phone
- (913) 588-6600
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1936 | KS | Primary |
| Optometrist | 152W00000X | 2012030550 | MO |
Addresses
Primary practice location
7400 State Line Rd
Prairie Village, KS 66208-3444
Mailing address
PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7249 Arlington Blvd
Falls Church, VA 22042-3219
Phone (703) 573-1200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012030550 | MO | MD | Optometrist |
| 1936 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Doctors of Optometry | Optometrist | Current | Accepting new patients |
Locations
2521 Wilson Blvd
Arlington, VA 22201
Phone (703) 522-7676
7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200
11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359
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": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1750633103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411851",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411851",
"telephone_number": "913-588-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 STATE LINE RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083444",
"telephone_number": "913-588-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHEM",
"first_name": "MALLORY",
"middle_name": "KUHLMANN",
"name_prefix": "Dr.",
"credential": "O.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1936",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2012030550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.