Lindsey Kennedy, O.D.
Individual provider Active NPI Optometrist · Wamego, KS
NPI 1972057677 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1972057677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2185 (KS)
- Practice address
- 1405 W US Highway 24
Wamego, KS 66547-1256 - Phone
- (785) 456-8900
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kyler Knobbe OD LLC
Practice addresses (Care Compare)
1405 W US Hwy 24
Wamego, KS 66547-1256
Phone (785) 456-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.77 of 100
- Quality
- 77.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180613002799 | TX | Practitioner - Optometry | 2961772520 | Reassigns benefits to 1 organization |
| I20230525002429 | KS | Practitioner - Optometry | 2961772520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33457 | CA | MD | Dentist |
| 9366 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Bettencourt, O.D. PC | Optometrist | Current |
Accepting new patients |
| Kyler Knobbe, OD, LLC | Optometrist | Current |
Accepting new patients |
| Blair and Ellis P.a. | Optometrist | Current |
Accepting new patients |
Locations
930 Hayes Dr
Ste D
Manhattan, KS 66502
Phone (785) 539-2020
1405 W US Highway 24
Wamego, KS 66547
Phone (785) 456-8900
3800 N Mesa St
Ste B1
El Paso, TX 79902
Phone (915) 533-1811
Interoperability endpoints
- lindsey.kennedy@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9366 | TX | |
| Optometrist | 152W00000X | 33457 | CA | |
| Optometrist | 152W00000X | 2185 | KS | Yes |
Addresses
Primary practice location
1405 W US Highway 24
Wamego, KS 66547-1256
Mailing address
55524 Reese Dr Apt 1
Fort Riley, KS 66442-2456
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.