ASHTIN MARIE HEATH POWELL (OD) – Optometrist, NPI 1760373955

ASHTIN MARIE HEATH POWELL (OD) is a healthcare provider. based in Derby, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2251 (KS). The NPI Number for ASHTIN MARIE HEATH POWELL (OD) is 1760373955

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ASHTIN MARIE HEATH POWELL (OD)
NPI
1760373955
Phone
(316) 788-9290
Address
1105 N BUCKNER ST
Enumeration Date
14 July 2025
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3167889290
Graduation Year
2025 (1 year ago)
PAC ID
4587171517
Group Practice PAC ID
2466494513
Professional Enrollment ID
I20250725000940
Address ID
KS670372719DE1105XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for ASHTIN MARIE HEATH POWELL (OD)

  • 1105 N BUCKNER ST

    DERBY, KS 670372719

    Phone: (316) 788-9290

    Type: Location

  • 1105 N BUCKNER ST # B

    DERBY, KS 670372719

    Phone: (316) 788-9290

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250725000940IOptometryKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466494513View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

How do I look up ASHTIN MARIE HEATH POWELL (OD) by NPI?
Use NPI 1760373955 when you need to reference ASHTIN MARIE HEATH POWELL (OD) in forms, claims, or directories.
Is ASHTIN MARIE HEATH POWELL (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ASHTIN MARIE HEATH POWELL (OD) treat or focus on?
Patients typically see ASHTIN MARIE HEATH POWELL (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for ASHTIN MARIE HEATH POWELL (OD)?
We surface Derby, Kansas for ASHTIN MARIE HEATH POWELL (OD) based on available NPPES addresses.
Is ASHTIN MARIE HEATH POWELL (OD) a real provider?
This page reflects official NPPES data for NPI 1760373955. Always confirm identity and privileges with the practice and licensing boards.

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