Tonganoxie Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TONGANOXIE EYE CARE LLC

Practice address

103 W 4TH St
Tonganoxie, KS 66086-9770

Phone

(913) 845-2030

Fax

(913) 845-9444

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katelyn Marie Volk, ODNPI 1851730345

Title

Owner

Phone

(913) 845-2030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelyn Marie Volk, O.D.

  • Optometrist
  • Tonganoxie, KS
  • NPI 1851730345
  Medicare reassignment Authorized official
• Richard E Dean, OD

  • Optometrist
  • Tonganoxie, KS
  • NPI 1366548828
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1821636309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 4TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869770",
            "telephone_number": "913-845-2030",
            "fax_number": "913-845-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 4TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869770",
            "telephone_number": "913-845-2030",
            "fax_number": "913-845-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-845-2030",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The University of Kansas Hospital
• Pamela Thompson
• Kimberly Todd, PA-C
• Tonganoxie Chiropractic and Soft Tissue Rehab
• Tonganoxie Chiropractic Clinic
• Tonganoxie Family Care
• Tonganoxie Management LLC (Tonganoxie Management)
• Tonganoxie Nursing and Rehab LLC
• Tonganoxie Opco LLC
• Wendy Trout

• Optometrist in Tonganoxie, KS
• Providers in Tonganoxie, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.