Individual provider Active NPI

Morgan Renee Schaller, OD

  • Optometrist
  • Newton, KS
National Provider Identifier
1912513086
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2130 Issued in KS
Practice address
216 N Meridian Rd
Newton, KS 67114-5119
Phone
(316) 283-1310
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2130 KS Primary

Addresses

Primary practice location

216 N Meridian Rd
Newton, KS 67114-5119

Mailing address

421 S Longbranch Dr
Maize, KS 67101-7019
Phone (620) 255-4180

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
I20201006000118 KS Practitioner - Optometry 2062831985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS.McKinney and Simmonds,Optometrists, LLCGroup PAC ID 2961393038, 2 clinicians

Practice addresses (Care Compare)

216 N Meridian Rd
Suite a
Newton, KS 67114-5119
Phone (316) 283-1310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2130KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS.Simmonds & Schaller, Optometrists, LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients

Locations

216 N Meridian Rd
Newton, KS 67114
Phone (316) 283-1310

216 N Meridian Rd
Ste A
Newton, KS 67114
Phone (316) 283-1310

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1912513086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S LONGBRANCH DR",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671017019",
            "telephone_number": "620-255-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MERIDIAN RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145119",
            "telephone_number": "316-283-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "MORGAN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.