Individual provider Active NPI

Mindy L Abbey, OD

  • Optometrist
  • Derby, KS
National Provider Identifier
1891890414
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1416 Issued in KS
Practice address
4615 Mark Twain Dr
Derby, KS 67037-4113
Phone
(316) 655-5282
NPI assigned
Sep 14, 2006
Last updated
Oct 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 1416 KS Primary

Addresses

Primary practice location

4615 Mark Twain Dr
Derby, KS 67037-4113

Mailing address

4615 Mark Twain Dr
Derby, KS 67037-4113
Phone (316) 655-5282

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
I20050601000997 KS Practitioner - Optometry 6406898394 Reassigns benefits to 1 organization
Practice locations: Derby, KS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carla J Mosteller OD PAGroup PAC ID 5092730804, 2 clinicians

Practice addresses (Care Compare)

2122 N Rock Rd
Wichita, KS 67206-1273
Phone (316) 682-7800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1416KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Wichita PA Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Carla J Mosteller OD PA Optometrist CurrentSince Apr 1, 2019 Accepting new patients

Locations

2122 N Rock Rd
Wichita, KS 67206

2441 N Maize Rd
Ste 2007B
Wichita, KS 67205
Phone (316) 272-1705

4600 W Kellogg Dr
Ste 215
Wichita, KS 67209
Phone (316) 943-0306

7700 E Kellogg Dr
Ste 1471
Wichita, KS 67207
Phone (316) 682-7800

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1891890414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 MARK TWAIN DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670374113",
            "telephone_number": "316-655-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 MARK TWAIN DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670374113",
            "telephone_number": "316-655-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBEY",
        "first_name": "MINDY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

Verify at the official NPI Registry.