Individual provider Active NPI

Katherine Gunn, OD

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1790354066
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2147 Issued in KS
Practice address
2301 10TH Ave
Leavenworth, KS 66048-4214
Phone
(913) 682-2929
NPI assigned
Jun 22, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2147 KS Primary

Addresses

Primary practice location

2301 10TH Ave
Leavenworth, KS 66048-4214

Mailing address

2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929

Other practice location 1

21 N 12th St Ste 102
Kansas City, KS 66102-5172
Phone (913) 342-4405

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
I20210823000099 KS Practitioner - Optometry 5193120608 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norris and Kelly PAGroup PAC ID 5890747711, 7 clinicians
Family Eyecare Center Lansing LLCGroup PAC ID 9234599861, 2 clinicians

Practice addresses (Care Compare)

2301 10TH Ave
Leavenworth, KS 66048-4214
Phone (913) 682-2929

301 Centre Dr
Lansing, KS 66043-6352
Phone (913) 682-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2147KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center of Desoto Kansas LLC Optometrist CurrentSince Sep 29, 2025 Accepting new patients
Norris and Kelly, P.a. Optometrist CurrentSince Jul 13, 2021 Accepting new patients
Family Eyecare Center Lansing LLC Optometrist CurrentSince Jun 7, 2023 Accepting new patients
Family Eyecare Center of Bonner Springs LLC Optometrist CurrentSince Jul 13, 2021 Accepting new patients

Locations

13047 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 441-4050

8781 Lexington Ave
Ste 11
De Soto, KS 66018
Phone (913) 290-5085

2301 10th Ave
Leavenworth, KS 66048
Phone (913) 680-1365

Organizations & group practices 5

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1790354066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 N 12th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661025172",
            "country_code": "US",
            "telephone_number": "913-342-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.