Individual provider Active NPI

Angela M. Macdonald, O.D.

  • Optometrist
  • Paola, KS
National Provider Identifier
1881894046
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1764 Issued in KS
Practice address
14 E Peoria St
Paola, KS 66071-1707
Phone
(913) 294-4342
Fax
(913) 294-3309
NPI assigned
Jul 24, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1764 KS Primary

Addresses

Primary practice location

14 E Peoria St
Paola, KS 66071-1707

Mailing address

2800 SW Wanamaker Rd
Suite 192
Topeka, KS 66614-4293
Phone (785) 272-0707

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
I20100309000194 KS Practitioner - Optometry 4880782739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3012 Anderson Ave
Manhattan, KS 66503-2809
Phone (785) 537-1118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1764KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Mar 1, 2010 Accepting new patients
Overland Optical, Inc Past Accepting new patients
Overland Optical, Inc. Past Accepting new patients

Locations

800 N 4th St
Ste 102
Burlington, KS 66839
Phone (620) 364-2134

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

2800 SW Wanamaker Rd
Ste 1
Topeka, KS 66614
Phone (785) 272-0707

2800 SW Wanamaker Rd
Ste 192
Topeka, KS 66614
Phone (785) 272-0707

Interoperability endpoints

  • Direct secure messaging: amacdonald@direct.eyecare-partners.com

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1881894046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW WANAMAKER RD",
            "address_2": "SUITE 192",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144293",
            "telephone_number": "785-272-0707",
            "fax_number": "785-272-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E PEORIA ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711707",
            "telephone_number": "913-294-4342",
            "fax_number": "913-294-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.