Shane R Kannarr, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1699 Issued in KS

Practice address

2521 N Broadway St
Pittsburg, KS 66762-2620

Phone

(620) 235-1737

Fax

(620) 230-0358

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kannarr Eye Care LLCGroup PAC ID 4688720790, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.51 of 100Reported as individual

Quality

56.93

Promoting interoperability

64

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kannarr Eye Care, LLC

  dba Kannarr Eye Care

  • Optometrist
  • Pittsburg, KS
  • NPI 1629209051
  Medicare reassignment Care Compare group
• Grene Vision Group LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1285627562

  Optometrist

  NPD (past)
• Grene Vision Group LLC

  dba Grene Vision Group

  • Optometrist
  • Wichita, KS
  • NPI 1598215006
  NPD (past)
• Joplin Association for the Blind

  • Voluntary or Charitable Agency
  • Joplin, MO
  • NPI 1730355934
  NPD (past)
• Mount Vernon Eyecare Associates, LLC

  • Optometrist
  • Mount Vernon, MO
  • NPI 1609957885
  NPD (past)
• Roberts Family Eyecare

  • Optometrist
  • Monett, MO
  • NPI 1215028097
  NPD (past)
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Independence, MO
  • NPI 1649203308
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1891772489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 29TH ST",
            "address_2": "SUITE G",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622696",
            "telephone_number": "620-235-1737",
            "fax_number": "620-230-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622620",
            "telephone_number": "620-235-1737",
            "fax_number": "620-230-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNARR",
        "first_name": "SHANE",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000160785",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1699",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20036611OD",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derick Jones
• Loretta Jones
• Tymaya Jones
• Kevin Kalm, ATC, CSCS
• Kannarr Eye Care, LLC (Kannarr Eye Care)
• Kansas Surgical Associates LLC
• Stephen Katzer, MSPT
• Keith a. Mallatt OD
• Caylene Kelso, RDH
• Clayton Dean Kent, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.