Douglas Alan Donnelly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1277 Issued in KS

Practice address

424 N Washington Ave
Iola, KS 66749-2353

Phone

(620) 365-2108

Fax

(620) 365-2522

NPI assigned

Feb 21, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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 Houston - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iola Vision Source, LLCGroup PAC ID 5698765584, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Iola Vision Source, LLC

  • Optometrist
  • Iola, KS
  • NPI 1568550754
  Medicare reassignment Care Compare group NPD Authorized official
• Reynolds & Anliker Eye Physicians & Surgeons LLC

  • Ophthalmology Physician
  • Emporia, KS
  • NPI 1255740676
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912972308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "address_2": "424 N WASHINGTON",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667490847",
            "telephone_number": "620-365-2108",
            "fax_number": "620-365-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N WASHINGTON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492353",
            "telephone_number": "620-365-2108",
            "fax_number": "620-365-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "658080",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00094712",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218530B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Allen (Allen County EMS)
• Carlyn Q Crow, DC
• Kayla Crumpacker
• David W Jordan
• Morgan Dieker, PHARMD
• Hazel Nmi Ebberts, OTR
• Jenel R Eisenbart, PHARM D
• G.W. Bill Elliott Jr, MDIV
• Amanda Ellis
• Jessica Eltomi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.