Individual provider Active NPI

Drew Michael Heide, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1790190338
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1981 Issued in KS
Practice address
2635 W Douglas Ave
Wichita, KS 67213-2605
Phone
(316) 942-7496
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1981 KS Primary

Addresses

Primary practice location

2635 W Douglas Ave
Wichita, KS 67213-2605

Mailing address

2635 W Douglas Ave
Wichita, KS 67213-2605
Phone (316) 942-7496

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
I20140808001799 KS Practitioner - Optometry 2860619111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Optometry, P.a.Group PAC ID 2567541451, 11 clinicians

Practice addresses (Care Compare)

2330 N Amidon Ave
Wichita, KS 67204-5630
Phone (316) 942-7496

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
80.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Optometry, P.a. Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Wichita Optometry P.a. Optometrist CurrentSince Aug 1, 2014 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) 832-0088

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

Interoperability endpoints

  • Direct secure messaging: drew.heide@direct.revolutionehr.com

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1790190338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132605",
            "telephone_number": "316-942-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132605",
            "telephone_number": "316-942-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDE",
        "first_name": "DREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.