Active NPI
Jennifer A Simmonds, OD
- Optometrist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1605
- Practice address
- 1901 W 21St St N
Wichita, KS 67203-2106 - Phone
- (316) 832-2838
- Fax
- (316) 832-9530
- NPI assigned
- Jun 28, 2006
- Last updated
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1605 | KS | Primary |
Addresses
Primary practice location
1901 W 21St St N
Wichita, KS 67203-2106
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (195) 761-8507
Other practice location 1
980 S Oliver St
Wichita, KS 67218-3216
Phone (316) 221-3008
Other practice location 2
400 SW 29th St Ste M
Topeka, KS 66611-1163
Phone (785) 783-5982
Other practice location 3
3716 State Ave Ste B
Kansas City, KS 66102-3831
Phone (719) 576-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100398370A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1277 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 722-8883
1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.79 of 100
- Quality
- 81.25
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1605 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven a Kuhl OD, LLC | Optometrist | Current | Accepting new patients |
| Steven a. Kuhl OD, LLC | Optometrist | Current | Accepting new patients |
| Grene Vision Group LLC | Optometrist | Current | Accepting new patients |
| Grene Vision Group LLC | Optometrist | Current | Accepting new patients |
| Tower Plaza Dental, P.a. | Past | Accepting new patients | |
| Adventure Vision of Topeka LLC | Optometrist | Past | Accepting new patients |
| Adventure Vision Parklane LLC | Optometrist | Past | Accepting new patients |
| Kansas Eye Surgery Center, LLC | Past | Accepting new patients | |
| Country Club Dental PA | Past | Accepting new patients | |
| Aventure Vision of Kansas City, LLC | Optometrist | Past | Accepting new patients |
Locations
1277 N Maize Rd
Wichita, KS 67212
Phone (316) 722-8883
1821 N Webb Rd
Ste 201
Wichita, KS 67206
Phone (316) 684-5158
1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150
1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010
Interoperability endpoints
- jennifer.simmonds.p1@direct.gvg.nextgenshare.com
Organizations & group practices 10
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.
-
dba Adventure Dental and Vision
- Optometrist
- Topeka, KS
- NPI 1023472081
-
dba Adventure Dental and Vision
- Optometrist
- Wichita, KS
- NPI 1073970885
-
dba Adventure Dental and Vision
- General Practice Dentistry
- Topeka, KS
- NPI 1699137109
-
- Ambulatory Surgical Clinic/Center
- Salina, KS
- NPI 1538082508
-
- General Practice Dentistry
- Kansas City, KS
- NPI 1003380023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1811924228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "195-761-8507",
"fax_number": "719-955-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032106",
"telephone_number": "316-832-2838",
"fax_number": "316-832-9530"
}
],
"practiceLocations": [
{
"address_1": "980 S Oliver St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672183216",
"country_code": "US",
"telephone_number": "316-221-3008",
"fax_number": "316-221-3015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 SW 29th St Ste M",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666111163",
"country_code": "US",
"telephone_number": "785-783-5982",
"fax_number": "785-783-5982",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3716 State Ave Ste B",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661023831",
"country_code": "US",
"telephone_number": "719-576-1850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONDS",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100398370A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.