Jonathan Reddell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1900 Issued in KS

Practice address

2301 10TH Ave
Leavenworth, KS 66048-4214

Phone

(913) 682-2929

Fax

(913) 682-2999

NPI assigned

Jul 22, 2011

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

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

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eyecare Center of Bonner Springs LLCGroup PAC ID 5294039236, 4 clinicians

Wyandotte Family Eyecare Center, LLCGroup PAC ID 5496981763, 3 clinicians

Norris and Kelly PAGroup PAC ID 5890747711, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Family Eyecare Center of Bonner Springs LLC

  • Optometrist
  • Bonner Springs, KS
  • NPI 1730514878
  Medicare reassignment Care Compare group NPD
• Norris and Kelly, P.a.

  • Optometrist
  • Leavenworth, KS
  • NPI 1467440305
  Medicare reassignment Care Compare group NPD
• Wyandotte Family Eyecare Center, LLC

  • Optometrist
  • Kansas City, KS
  • NPI 1306181367
  Medicare reassignment Care Compare group NPD
• Family Eyecare Center Lansing LLC

  • Optometrist
  • Lansing, KS
  • NPI 1578854451
  Medicare reassignment NPD
• Family Eyecare Center of Desoto Kansas LLC

  • Optometrist
  • De Soto, KS
  • NPI 1033009915
  NPD (past)
• Turner Health Solutions

  • Home Health Agency
  • Kansas City, MO
  • NPI 1700131018
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1982982013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDELL",
        "first_name": "JONATHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Todd Rasmussen, BS RPH
• Roy S Rasmussen
• Lyman Thair Rate, PH.D.
• Sherrie J. Ray, ARNP
• Ashley Schuelke Reddell, O.D.
• Angelina Rediger
• Phyllis E Reed
• David Thacker Reeves, R.PH.
• Heather M Reeves, RPH
• Reifschneider Eye Center, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.