Michael John Atteberry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1860 Issued in KS

Practice address

3201 S Iowa
Lawrence, KS 66046

Phone

(785) 841-2020

Fax

(785) 841-0420

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

Yes

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

University of Missouri St Louis - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atteberry Eye Centers LLCGroup PAC ID 5496871824, 9 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.

• Atteberry Eye Centers LLC

  • Optometrist
  • Lawrence, KS
  • NPI 1548573074
  Medicare reassignment Care Compare group NPD Authorized official
• Atteberry Eye Centers LLC

  • Optometrist
  • Topeka, KS
  • NPI 1194545517
  NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1992018600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BOB BILLINGS PKWY",
            "address_2": "STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494094",
            "telephone_number": "785-841-2020",
            "fax_number": "785-841-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S IOWA",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-841-2020",
            "fax_number": "785-841-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Association of Therapy & Resource Centers
• Remington Asta
• Asthma & Allergy Associates PA
• Atma Clinic, LLC
• Atteberry Eye Centers LLC
• Samantha Attkisson-Shrimplin, LSCSW, LCAC
• Eric B Atwood, D.O.
• Colleen Gwyn Auchenbach, DC
• Jared Michael Auten, LMSW
• Autism Solutions Ksmo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.