Individual provider Active NPI

Jennifer A Simmonds, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1811924228
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1605 Issued in KS
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100398370AMedicaidKS

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
I20081105000066 KS Practitioner - Optometry 3870652910 Reassigns benefits to 2 organizations

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
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

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 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1605KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jan 1, 2021 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 PastSince Oct 23, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.