Individual provider Active NPI

Douglas Duane Ayre, O.D.

  • Optometrist
  • Larned, KS
National Provider Identifier
1821066671
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14723 Issued in KS
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 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

IdentifierTypeStateIssuer
100281500DMedicaidKS
100281500EMedicaidKS
200001160AMedicaidKS

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
I20041103000521 KS Practitioner - Optometry 3072575950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Ulysses Eyecare PAGroup PAC ID 7416202114, 2 clinicians

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 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14723KSMDSocial Worker
1472KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Douglas D. Ayre, Optometrist, PA Optometrist CurrentSince Oct 8, 1998 Accepting new patients
Ulysses Eyecare, PA Optometrist CurrentSince Feb 16, 2018 Accepting new patients
Dr. Douglas D. Ayre Optometrist P a Optometrist CurrentSince Jul 1, 2004 Accepting new patients
Ulysses Eyecare, L.L.C. Optometrist PastSince Apr 14, 2018 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.

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

Verify at the official NPI Registry.