Individual provider Active NPI

Steven Jay Flory, OD

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1780679167
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12362 Issued in KS
Practice address
3300 Bob Billings Pkwy
Suite 9
Lawrence, KS 66049-2926
Phone
(785) 749-1010
Fax
(785) 749-4441
NPI assigned
Sep 13, 2005
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12362 KS Primary

Addresses

Primary practice location

3300 Bob Billings Pkwy
Suite 9
Lawrence, KS 66049-2926

Mailing address

3300 Bob Billings Pkwy
Suite 9
Lawrence, KS 66049-2926
Phone (785) 749-1010

Other identifiers 6

IdentifierTypeStateIssuer
463060OtherCHILDRENS MERCY
T67614OtherHEALTHNET
7417OtherKSCOVENTRY
522271OtherADVANTRA FREEDOM MEDICARE
24966011OtherKSBCBS KANSAS CITY
022437OtherKSBCBS

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
I20050418000888 KS Practitioner - Optometry 4486692852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ammel Optometry, LLCGroup PAC ID 4789747692, 2 clinicians

Practice addresses (Care Compare)

3300 Bob Billings Pkwy
Suite 9
Lawrence, KS 66049-2949
Phone (785) 749-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12362KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ammel Optometry, LLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

3300 Bob Billings Pkwy
Ste 9
Lawrence, KS 66049
Phone (785) 749-1010

2101 S Princeton St
Ste 100
Ottawa, KS 66067
Phone (785) 242-7300

Interoperability endpoints

  • Direct secure messaging: steven.flory@khindirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1780679167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BOB BILLINGS PKWY",
            "address_2": "SUITE 9",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492926",
            "telephone_number": "785-749-1010",
            "fax_number": "785-749-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BOB BILLINGS PKWY",
            "address_2": "SUITE 9",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492926",
            "telephone_number": "785-749-1010",
            "fax_number": "785-749-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORY",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "12362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MERCY",
            "identifier": "463060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "T67614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "7417",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM MEDICARE",
            "identifier": "522271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "24966011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "022437",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.