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WEST WICHITA FAMILY OPTOMETRISTS
NPI 1821069220
Optometrist in Wichita, KS

Active since February 01, 2006CLIA 17D2203988 · Waiver
1202 W MAPLE ST, WICHITA, KS 67213(316) 262-3716(316) 262-0784 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Wichita Family Optometrists NPPES

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

WEST WICHITA FAMILY OPTOMETRISTS (NPI 1821069220) is a healthcare organization registered as an optometrist in Wichita, Kansas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Charles W Kissling, Vice President, as its authorized official.

NPPES Registry Identity

NPI1821069220
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWEST WICHITA FAMILY OPTOMETRISTS
Location Address1202 W MAPLE STWichita, KS 67213-3916
Mailing Address1202 W Maple StWichita, KS 67213-3916 · (316) 262-3716 · Fax (316) 262-0784
Phone(316) 262-3716
Fax(316) 262-0784
Organization SubpartNo
Authorized OfficialCharles W KisslingVice President · (316) 262-3716
Enumeration DateFebruary 1, 2006
Last NPPES UpdateAugust 12, 2008
✔ NPI 1821069220 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.
1202 W MAPLE ST, Wichita, KS 67213
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Other Identifiers 12

Other005347KS · Bcbs
Medicare UPINT80146KS
Medicare UPINT78470KS
Medicare UPINU35078KS
Medicare ID-Type Unspecified017136KS
Medicare ID-Type Unspecified005122KS
Medicare NSC0181170001KS
Medicare UPINU37184KS
Medicare ID-Type Unspecified049878KS
Medicare UPINT43661KS
Medicare ID-Type Unspecified005279KS
Medicare ID-Type Unspecified017034KS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Wichita Family Optometrists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to West Wichita Family Optometrists, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nicklaus Richmond, O.D.
Optometry
NPI 1003183062
1202 W MAPLE ST
Wichita, KS 67213
(316) 262-3716
✔ PECOS✔ Accepts MedicareSame address
Emily Becker, O,D.
Optometry
NPI 1205149788
1202 W MAPLE ST
Wichita, KS 67213
(316) 262-3716
✔ PECOS✔ Accepts MedicareSame address
Eric Lamp, O.D.
Optometry
NPI 1285605618
1202 W MAPLE ST
Wichita, KS 67213
(316) 262-3716
✔ PECOS✔ Accepts MedicareSame address
Jenna Dougherty, OD
Optometry
NPI 1700614674
1202 W MAPLE ST
Wichita, KS 67213
(316) 262-3716
✔ PECOS✔ Accepts MedicareSame address
Ryan Emrick, O.D.
Optometry
NPI 1427361385
1202 W MAPLE ST
Wichita, KS 67213
(316) 262-3716
✔ PECOS✔ Accepts MedicareSame address
Marcus Randall, OD
Optometry
NPI 1922239169
1400 W CENTRAL AVE
El Dorado, KS 67042
(316) 320-2200
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 17D2203988

West Wichita Family Optometrists · Wichita, KS
Active · expires Dec 6, 2026
CLIA Number17D2203988
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorNicklaus Richmond
Laboratory Phone(316) 644-6725
Laboratory LocationWest Wichita Family Optometrists1202 W Maple, Wichita, KS 67213
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories West Wichita Family Optometrists carries, from the Medicare DMEPOS supplier directory.

West Wichita Family Optometrists

DMEPOS supplier · Wichita, KS
✔

Accepts Medicare assignment

West Wichita Family Optometrists 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)20516927
Medicare Participant SinceJanuary 1, 2013
Supplier Location1202 W Maple StWichita, KS 67213
Phone(316) 262-3716
Supplier Specialties
Optometrist

Medicare Product Categories

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

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 West Wichita Family Optometrists's NPI number?

The NPI number for West Wichita Family Optometrists is 1821069220. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is West Wichita Family Optometrists located?

West Wichita Family Optometrists is located at 1202 W Maple St, Wichita, KS 67213. The listed phone number is (316) 262-3716.

What is West Wichita Family Optometrists's specialty?

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

Is West Wichita Family Optometrists enrolled in Medicare?

Yes. West Wichita Family Optometrists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Wichita Family Optometrists?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to West Wichita Family Optometrists. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Wichita Family Optometrists accept Medicare assignment for medical equipment?

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

Does West Wichita Family Optometrists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2203988) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Wichita Family Optometrists accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list West Wichita Family Optometrists 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 West Wichita Family Optometrists was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.