WICHITA OPTOMETRY, P.A.
NPI 1053889451
Optometrist in Mulvane, KS

Active since November 05, 2018CLIA Certified · 2 labs
415 SE LOUIS DR, MULVANE, KS 67110(316) 942-7496(316) 239-2557 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2021, Jun 17, 2021, Nov 5, 2018 (3 updates tracked since 2018).

About Wichita Optometry, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WICHITA OPTOMETRY, P.A. (NPI 1053889451) is a healthcare organization registered as an optometrist in Mulvane, Kansas and active in the NPI registry since November 2018. The organization holds 2 active CLIA laboratory certificates and lists Jeffrey H Yarrow, Owner, as its authorized official.

NPPES Registry Identity

NPI1053889451
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWICHITA OPTOMETRY, P.A.
Location Address415 SE LOUIS DRMulvane, KS 67110-1205
Mailing Address2635 W Douglas AveWichita, KS 67213-2605 · (316) 942-7496 · Fax (316) 239-2557
Fax(316) 239-2557
Organization SubpartYesParent: Wichita Optometry P.a.
Authorized OfficialJeffrey H YarrowOwner · (316) 942-7496
Enumeration DateNovember 5, 2018
Last NPPES UpdateJune 30, 20213 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1053889451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

415 SE LOUIS DR, Mulvane, KS 67110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2141360

Wichita Optometry PA · Wichita, KS
Active · expires Dec 11, 2027
CLIA Number17D2141360
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorJeffery Yarrow
Laboratory Phone(316) 942-7496
Laboratory LocationWichita Optometry PA2635 W Douglas, Wichita, KS 67213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2321635

Wichita Optometry · Wichita, KS
Active · expires Apr 6, 2027
CLIA Number17D2321635
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJeffrey Yarrow
Laboratory Phone(316) 942-7496
Laboratory LocationWichita Optometry8150 E Douglas Suite 50, Wichita, KS 67206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Wichita Optometry P.A. carries, from the Medicare DMEPOS supplier directory.

Wichita Optometry P.A.

DMEPOS supplier · Mulvane, KS

Accepts Medicare assignment

Wichita Optometry P.A. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20606903
Medicare Participant SinceJanuary 1, 2002
Supplier Location415 SE Louis DrMulvane, KS 67110
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Vision Therapy)
415 SE LOUIS DR
MULVANE, KS 67110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wichita Optometry, P.A.'s NPI number?

The NPI number for Wichita Optometry, P.A. is 1053889451. It was assigned to this organization in the NPPES registry on November 5, 2018.

Where is Wichita Optometry, P.A. located?

Wichita Optometry, P.A. is located at 415 SE Louis Dr, Mulvane, KS 67110. The listed phone number is (316) 942-7496.

What is Wichita Optometry, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Wichita Optometry, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Wichita Optometry P.A. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Wichita Optometry, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wichita Optometry, P.A. was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.