Individual provider Active NPI

Kimberly Rene Cheney, O.D.

  • Optometrist
  • Osborne, KS
National Provider Identifier
1821403965
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1975 Issued in KS
Practice address
101 W Main St
Osborne, KS 67473-2402
Phone
(785) 346-5437
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1975 KS Primary

Addresses

Primary practice location

101 W Main St
Osborne, KS 67473-2402

Mailing address

305 N Elm St
Osborne, KS 67473-2122
Phone (785) 545-6972

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
I20140728000134 KS Practitioner - Optometry 5991921017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 W Main St
Osborne, KS 67473-2402
Phone (785) 346-5437

418 Main St
Stockton, KS 67669-1930
Phone (785) 425-6381

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as individual
Quality
62.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1975KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Valley Vision LLC Optometrist CurrentSince Mar 1, 2015 Accepting new patients

Locations

101 W Main St
Osborne, KS 67473
Phone (785) 346-5437

418 Main St
Stockton, KS 67669
Phone (785) 425-6381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1821403965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ELM ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732122",
            "telephone_number": "785-545-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402",
            "telephone_number": "785-346-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "KIMBERLY",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

Verify at the official NPI Registry.