Individual provider Active NPI

Wendy Runyon Foster, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1043207236
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1560 Issued in KS
Practice address
2020 N Woodlawn St
Ste 390
Wichita, KS 67208-1852
Phone
(316) 682-9891
Fax
(316) 682-9829
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1560 KS Primary
Optometrist 152W00000X T03465 MO

Addresses

Primary practice location

2020 N Woodlawn St
Ste 390
Wichita, KS 67208-1852

Mailing address

2020 N Woodlawn St
Ste 390
Wichita, KS 67208-1852
Phone (316) 682-9891

Other identifiers 1

IdentifierTypeStateIssuer
100317350BMedicaidKS

Other names 1

  • Ms. Wendy Howerton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000201 KS Practitioner - Optometry 5092616474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Runyon Optometry, P.a.Group PAC ID 3375506959, 2 clinicians

Practice addresses (Care Compare)

2020 N Woodlawn St
390 Vision Care 4Life
Wichita, KS 67208-1883
Phone (316) 682-9891

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03465MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Mancina, MD & Associates, PA Past Accepting new patients
Gerhard W Cibis MD PC Optometrist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1043207236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WOODLAWN ST",
            "address_2": "STE 390",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081852",
            "telephone_number": "316-682-9891",
            "fax_number": "316-682-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WOODLAWN ST",
            "address_2": "STE 390",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081852",
            "telephone_number": "316-682-9891",
            "fax_number": "316-682-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "WENDY",
        "middle_name": "RUNYON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1560",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317350B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HOWERTON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.