Organization Active NPI

Cody L Hoss O.D. LLC

Doing business as Haysville Family EyeCare

  • Optometrist
  • Haysville, KS
National Provider Identifier
1780027557
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1898 Issued in KS
Legal business name
CODY L HOSS O.D. LLC
Doing business as
Haysville Family EyeCare
Practice address
1425 W Grand Ave
Suite 111
Haysville, KS 67060-1269
Phone
(316) 858-4558
Fax
(316) 858-4141
NPI assigned
Apr 11, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Cody Lee Hoss, O.D.NPI 1144508797
Title
Optometrist
Phone
(316) 858-4558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1898 KS Primary

Addresses

Primary practice location

1425 W Grand Ave
Suite 111
Haysville, KS 67060-1269

Mailing address

1425 W Grand Ave
111
Haysville, KS 67060-1269
Phone (316) 858-4558

Other names 1

  • Haysville Family EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130614000216 KS DME Supplier - Physician - OptometristDME Supplier - Optician 8729227194 Practice locations: Haysville, KS
O20130808000370 KS Part B Supplier - Clinic/Group Practice 8729227194 Receives reassigned benefits from 1 practitioner
Practice locations: Haysville, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cody L Hoss OD LLC1425 W Grand Ave, Haysville, KS 67060-1270(316) 858-4558 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 25, 2013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1780027557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W GRAND AVE",
            "address_2": "111",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601269",
            "telephone_number": "316-858-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W GRAND AVE",
            "address_2": "SUITE 111",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601269",
            "telephone_number": "316-858-4558",
            "fax_number": "316-858-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY L HOSS O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "HOSS",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "316-858-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haysville Family EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.