Individual provider Active NPI

Brian Scott McDonald, O.D.

  • Optometrist
  • Olathe, KS
National Provider Identifier
1861458820
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1660 Issued in KS
Practice address
15208 S Blackbob Rd
Olathe, KS 66062-3316
Phone
(913) 390-4900
Fax
(913) 390-4970
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1660 KS Primary

Addresses

Primary practice location

15208 S Blackbob Rd
Olathe, KS 66062-3316

Mailing address

15052 S Blackbob Rd
Olathe, KS 66062-2663
Phone (913) 390-4900

Other identifiers 2

IdentifierTypeStateIssuer
200264720AMedicaidKS
33559012OtherKSBC/BS

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
I20040311000184 KS Practitioner - Optometry 7012806953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chamberlain McDonald Family Eye Care, PAGroup PAC ID 9032008966, 4 clinicians

Practice addresses (Care Compare)

15205 S Blackbob Rd
Olathe, KS 66062-3303
Phone (913) 390-4900

15205 S Blackbob Rd
Olathe, KS 66062-3316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1660KSMDAddiction (Substance Use Disorder) Counselor

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1861458820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15052 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622663",
            "telephone_number": "913-390-4900",
            "fax_number": "913-390-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15208 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623316",
            "telephone_number": "913-390-4900",
            "fax_number": "913-390-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264720A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "33559012",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.