Individual provider Active NPI

Jeffrey L Luty, O.D.

  • Optometrist
  • Abilene, KS
National Provider Identifier
1801898119
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1404 Issued in KS
Practice address
1000 N Brown St Ste a
Abilene, KS 67410-1824
Phone
(785) 263-3651
Fax
(785) 263-3561
NPI assigned
Jun 1, 2005
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1404 KS Primary

Addresses

Primary practice location

1000 N Brown St Ste a
Abilene, KS 67410-1824

Mailing address

1000 N Brown St Ste a
Abilene, KS 67410-1824
Phone (785) 263-3651

Other identifiers 1

IdentifierTypeStateIssuer
100220010BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100120000146 KS Practitioner - Optometry 0042352619 Reassigns benefits to 1 organization
O20100930041246 KS DME Supplier - Physician - OptometristDME Supplier - Optician 7214079888 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Abilene, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abilene Eyecare Associates, PAGroup PAC ID 7214079888, 2 clinicians

Practice addresses (Care Compare)

1000 N Brown St
Suite a
Abilene, KS 67410-1824
Phone (785) 263-3651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Eyecare Associates, PA Optometrist CurrentSince Mar 2, 2002 Accepting new patients

Locations

1000 N Brown St
#A
Abilene, KS 67410
Phone (785) 263-3651

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, 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1801898119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N BROWN ST STE A",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101824",
            "telephone_number": "785-263-3651",
            "fax_number": "785-263-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROWN ST STE A",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101824",
            "telephone_number": "785-263-3651",
            "fax_number": "785-263-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTY",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100220010B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.