Sam William Odle, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS-1199-2 Issued in KS

Practice address

3012 Anderson Ave
Manhattan, KS 66503-2809

Phone

(785) 537-1118

Fax

(785) 537-8005

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sodle@direct.eyecare-partners.com

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.

• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Marysville, KS
  • NPI 1083682132
  NPD (past)
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Olathe, KS
  • NPI 1902874084
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1053392936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW WANAMAKER RD",
            "address_2": "SUITE 192",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144293",
            "telephone_number": "785-272-0707",
            "fax_number": "785-271-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665032809",
            "telephone_number": "785-537-1118",
            "fax_number": "785-537-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "SAM",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS-1199-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005036",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218020A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "059825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410038216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410034609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cammie Jocelyn Anne O'Neal
• Bruce D Oberhelman, O.D.
• Karen Ochoa, DPT
• Paige Ocsody
• Dyan S Odea, MT ASCP
• Michelle Oehm, APRN
• Megan Amelia Oetinger, PSY.D.
• Erica Ojeda, PHARMD
• Jennifer Oliver, RN, BSN
• Bernadette Louise Olson, ATC, AT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.