Active NPI
Leticia Santa, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1013558139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3107
- Practice address
- 949 S Glendale St
Wichita, KS 67218-3210 - Phone
- (316) 685-2221
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3107 | CT | Primary |
Addresses
Primary practice location
949 S Glendale St
Wichita, KS 67218-3210
Mailing address
999 N Silver Springs Blvd Apt 907
Wichita, KS 67212-6036
Phone (413) 636-9626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3107 | Other | CT | FEDERAL GOVERNMENT (VA) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1013558139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N SILVER SPRINGS BLVD APT 907",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126036",
"telephone_number": "413-636-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 S GLENDALE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183210",
"telephone_number": "316-685-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA",
"first_name": "LETICIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL GOVERNMENT (VA)",
"identifier": "3107",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.