Active NPI
Douglas Duane Ayre, O.D.
- Optometrist
- Larned, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14723
- Practice address
- 722 Mann Ave
Larned, KS 67550-2909 - Phone
- (620) 285-2105
- Fax
- (620) 285-7236
- NPI assigned
- Mar 9, 2006
- Last updated
- May 9, 2013
- Sex
- Male
- 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 | 14723 | KS | Primary |
Addresses
Primary practice location
722 Mann Ave
Larned, KS 67550-2909
Mailing address
722 Mann Ave
Larned, KS 67550-2909
Phone (620) 285-2105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281500D | Medicaid | KS | |
| 100281500E | Medicaid | KS | |
| 200001160A | 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
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1100 W Oklahoma Ave
Ulysses, KS 67880-2359
Phone (620) 356-4094
722 Mann
Larned, KS 67550-2909
722 Mann Ave
Larned, KS 67550-2909
Merit-based Incentive Payment System (MIPS)
- Final score
- 7.5 of 100
- Quality
- 15
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14723 | KS | MD | Social Worker |
| 1472 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Douglas D. Ayre, Optometrist, PA | Optometrist | Current | Accepting new patients |
| Ulysses Eyecare, PA | Optometrist | Current | Accepting new patients |
| Dr. Douglas D. Ayre Optometrist P a | Optometrist | Current | Accepting new patients |
| Ulysses Eyecare, L.L.C. | Optometrist | Past | Accepting new patients |
Locations
713 McKinley St
Great Bend, KS 67530
Phone (620) 792-3535
722 Mann Ave
Larned, KS 67550
Phone (620) 285-2105
1100 W Oklahoma Ave
Ulysses, KS 67880
Phone (620) 356-4094
Organizations & group practices 4
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 Eyecare of Great Bend
- Optometrist
- Great Bend, KS
- NPI 1184728776
-
- Optometrist
- Ulysses, KS
- NPI 1235642620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1821066671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 MANN AVE",
"city": "LARNED",
"state": "KS",
"postal_code": "675502909",
"telephone_number": "620-285-2105",
"fax_number": "620-285-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 MANN AVE",
"city": "LARNED",
"state": "KS",
"postal_code": "675502909",
"telephone_number": "620-285-2105",
"fax_number": "620-285-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYRE",
"first_name": "DOUGLAS",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "14723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281500D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281500E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200001160A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Larned, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.