Westglen Eyecare PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1601 Issued in KS

Legal business name

WESTGLEN EYECARE PA

Practice address

16202 Midland Dr
Shawnee, KS 66217-9535

Phone

(913) 962-2010

Fax

(913) 962-2013

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea Marie Spruyt, O.D.

Title

Owner

Phone

(913) 962-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea M. Beatty, O.D.

  • Corneal and Contact Management Optometrist
  • Shawnee, KS
  • NPI 1093908329
  Medicare reassignment Care Compare group NPD
• Eric Scott Beatty, OD

  • Optometrist
  • Shawnee, KS
  • NPI 1598746844
  Medicare reassignment Care Compare group NPD
• Kelli Ann Smith, O.D.

  • Optometrist
  • Kansas City, MO
  • NPI 1811283914

  KS

  Medicare reassignment NPD
• Julie Zybko, O. D.

  • Optometrist
  • Olathe, KS
  • NPI 1811150337
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1023178407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179535",
            "telephone_number": "913-962-2010",
            "fax_number": "913-962-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179535",
            "telephone_number": "913-962-2010",
            "fax_number": "913-962-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGLEN EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "SPRUYT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-962-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora L Wendling, OTR/L, CHT
• Ashlee West
• Briana West
• Westglen Endoscopy Center LLC
• Westglen Endoscopy Center LLC
• Westglen Gastrointestinal Consultants PA
• Susan Marie Whitaker, LBSW
• Jaclyn Brooke Whitlock, APRN
• Heidi Rae Wickersham, LMSW
• Sheryl Kay Wilde, LPC

• Optometrist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.