Individual provider Active NPI

Ryan Shawn McCarthy, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1972165868
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2103 Issued in KS
Practice address
321 S Hillside St
Wichita, KS 67211-2130
Phone
(316) 685-1898
NPI assigned
Jul 1, 2019
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2103 KS Primary

Addresses

Primary practice location

321 S Hillside St
Wichita, KS 67211-2130

Mailing address

321 S Hillside St
Wichita, KS 67211-2130

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
I20190730002666 KS Practitioner - Optometry 9335475284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Wichita, P.a.Group PAC ID 3577615780, 5 clinicians

Practice addresses (Care Compare)

321 S Hillside St
Wichita, KS 67211-2130
Phone (316) 685-1898

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Wichita, P.a. Optometrist CurrentSince Jun 29, 2019 Accepting new patients

Locations

3911 N Maize Rd
Maize, KS 67101
Phone (316) 558-3021

321 S Hillside St
Wichita, KS 67211
Phone (316) 685-1898

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, 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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1972165868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112130",
            "telephone_number": "316-685-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "RYAN",
        "middle_name": "SHAWN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.