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DR. JEREMY RUSSELL GARDNER OD
NPI 1710503412
Optometrist in Wichita, KS

Active since June 18, 2020PECOS Enrolled
746 N MAIZE RD STE 100, WICHITA, KS 67212(316) 665-7647 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Jeremy Russell Gardner Od NPPES

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

DR. JEREMY RUSSELL GARDNER OD (NPI 1710503412) is an individual optometrist in Wichita, Kansas, licensed in Kansas (2117) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wichita.

NPPES Registry Identity

NPI1710503412
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEREMY RUSSELL GARDNERCredential: OD
Location Address746 N MAIZE RD STE 100Wichita, KS 67212-4571
Mailing Address754 N Toh N Hah TrlWichita, KS 67212-4536 · (480) 729-2150
Phone(316) 665-7647
Sole ProprietorNo
Enumeration DateJune 18, 2020
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1710503412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KS · 2117✔ Licensed in AZ · OPT-002433
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.
746 N MAIZE RD STE 100, Wichita, KS 67212
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Secondary Practice Location 1

Location 1746 N Maize Rd Ste 100Wichita, KS 67212-4571 · Phone (316) 252-0095

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Russell Gardner Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

KANSAS VISION DEVELOPMENT CENTER
Optometrist (Vision Therapy)
746 N MAIZE RD STE 100
WICHITA, KS 67212
Sedgwick County (316) 721-8877
LAURA AELVOET OD
Optometrist
746 N MAIZE RD STE 100
WICHITA, KS 67212
Sedgwick County (316) 665-7647
JESSICA RUXTON OD
Optometrist
746 N MAIZE RD STE 100
WICHITA, KS 67212
Sedgwick County (316) 665-7647

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 Jeremy Gardner's NPI number?

The NPI number for Jeremy Gardner is 1710503412. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Jeremy Gardner located?

Jeremy Gardner practices at 746 N Maize Rd Ste 100, Wichita, KS 67212. The listed phone number is (316) 665-7647.

What is Jeremy Gardner's specialty?

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

Is Jeremy Gardner enrolled in Medicare?

Yes. Jeremy Gardner is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Gardner accept?

Health plans from Select Health and University of Utah Health Plans list Jeremy Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Gardner was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.