Individual provider Active NPI

Madison Leigh Evans

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1881382760
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2192 Issued in KS
Practice address
2720 S 4TH St
Leavenworth, KS 66048-4571
Phone
(913) 651-3344
NPI assigned
Apr 27, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 2192 KS Primary

Addresses

Primary practice location

2720 S 4TH St
Leavenworth, KS 66048-4571

Mailing address

PO Box 207293
Dallas, TX 75320-7293
Phone (913) 651-3344

Other practice location 1

935 Iowa St Ste 3
Lawrence, KS 66044-1854
Phone (785) 838-3200

Other practice location 2

15311 W 119th St
Olathe, KS 66062-1074
Phone (913) 780-3200

Other practice location 3

751 N Mur Len Rd Ste A
Olathe, KS 66062-5555
Phone (913) 764-2020

Other practice location 4

705 Baptiste Dr Ste 200
Paola, KS 66071-1336
Phone (913) 294-4342

Other practice location 5

316 S Main St
Ottawa, KS 66067-2332
Phone (785) 242-2020

Other practice location 6

2600 Iowa St
Lawrence, KS 66046-4152
Phone (785) 842-6999

Other names 1

  • Madison Howard Former name

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
I20230728000423 KS Practitioner - Optometry 4486015138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2720 S 4TH St
Leavenworth, KS 66048-4571
Phone (913) 651-3344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2192KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Sep 24, 2023 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Sep 24, 2023 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients

Locations

2600 Iowa St
Lawrence, KS 66046
Phone (785) 842-6999

935 Iowa St
Ste 3
Lawrence, KS 66044
Phone (785) 246-3937

2720 S 4th St
Leavenworth, KS 66048
Phone (913) 651-3344

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

15311 W 119th St
Olathe, KS 66062
Phone (913) 780-3200

751 N Mur Len Rd
Ste A
Olathe, KS 66062
Phone (913) 764-2020

316 S Main St
Ottawa, KS 66067
Phone (785) 242-2020

705 Baptiste Dr
Ste 200
Paola, KS 66071
Phone (913) 294-4342

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1881382760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207293",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207293",
            "telephone_number": "913-651-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484571",
            "telephone_number": "913-651-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Iowa St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441854",
            "country_code": "US",
            "telephone_number": "785-838-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15311 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621074",
            "country_code": "US",
            "telephone_number": "913-780-3200",
            "fax_number": "913-780-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 N Mur Len Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660625555",
            "country_code": "US",
            "telephone_number": "913-764-2020",
            "fax_number": "913-768-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Baptiste Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711336",
            "country_code": "US",
            "telephone_number": "913-294-4342",
            "fax_number": "913-294-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660672332",
            "country_code": "US",
            "telephone_number": "785-242-2020",
            "fax_number": "785-242-2335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Iowa St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660464152",
            "country_code": "US",
            "telephone_number": "785-842-6999",
            "fax_number": "785-842-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MADISON",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HOWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.