Organization Active NPI

Wichita Vision Institute P.a.

  • Clinic/Center
  • Wichita, KS
National Provider Identifier
1811932353
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
04-38059 Issued in KS
Legal business name
WICHITA VISION INSTITUTE P.A.
Practice address
2552 N Maize Rd
Suite 200
Wichita, KS 67205-7341
Phone
(316) 773-6400
Fax
(316) 773-6401
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Reena N. Patel, M.D.NPI 1346288149
Title
President, Wichita Vision Institute
Phone
(316) 773-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 04-38059 KS Primary

Addresses

Primary practice location

2552 N Maize Rd
Suite 200
Wichita, KS 67205-7341

Mailing address

2552 N Maize Rd
Suite 200
Wichita, KS 67205-7341
Phone (316) 773-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000208 KS Part B Supplier - Clinic/Group Practice 2961470109 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2062870Wichita Vision Institute2552 North Maize Court Suite 200, Wichita, KS 67205Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

2552 N Maize Ct
Ste 200
Wichita, KS 67205
Phone (316) 773-6400

2552 N Maize Ct
Wichita, KS 67205

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/vd87xf53

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1811932353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 N MAIZE RD",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057341",
            "telephone_number": "316-773-6400",
            "fax_number": "316-773-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 N MAIZE RD",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057341",
            "telephone_number": "316-773-6400",
            "fax_number": "316-773-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA VISION INSTITUTE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT, WICHITA VISION INSTITUTE",
        "authorized_official_telephone_number": "316-773-6400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "04-38059",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.