Individual provider Active NPI

Jane Winkler Philbrook, O.D.

  • Optometrist
  • Roeland Park, KS
National Provider Identifier
1073557112
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1338 Issued in KS
Practice address
5150 Roe Blvd
Roeland Park, KS 66205-2359
Phone
(913) 403-9013
Fax
(913) 273-5444
NPI assigned
Jun 16, 2006
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03004 MO
Optometrist 152W00000X 1338 KS Primary
Pediatric Optometrist 152WP0200X 1338 KS
Pediatric Optometrist 152WP0200X T03004 MO
Vision Therapy Optometrist 152WV0400X 1338 KS
Vision Therapy Optometrist 152WV0400X T03004 MO
Occupational Vision Optometrist 152WX0102X 1338 KS
Occupational Vision Optometrist 152WX0102X T03004 MO

Addresses

Primary practice location

5150 Roe Blvd
Roeland Park, KS 66205-2359

Mailing address

7161 State Ave
PO Box 12174
Kansas City, KS 66112-3001
Phone (913) 299-3548

Other identifiers 2

IdentifierTypeStateIssuer
19207014OtherKSBLUE CROSS BLUE SHEILD
100219020DMedicaidKS

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
I20051115000636 KS Practitioner - Optometry 9032143409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5150 Roe Blvd
Roeland Park, KS 66205-2359
Phone (913) 403-9013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1338KSMDClinical Psychologist
T03004MOMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Winkler Philbrook, OD, PA Optometrist CurrentSince Jul 12, 2021 Accepting new patients
Professional Eyecare Management Inc. Optometrist Past Accepting new patients
Professional Eyecare - Bannister Optometrist Past Accepting new patients
Professional Eyecare Metro North Inc Optometrist Past Accepting new patients

Locations

7161 State Ave
Kansas City, KS 66112
Phone (913) 299-3548

5150 Roe Blvd
Roeland Park, KS 66205
Phone (913) 236-8778

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1073557112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 STATE AVE",
            "address_2": "PO BOX 12174",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123001",
            "telephone_number": "913-299-3548",
            "fax_number": "913-299-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052359",
            "telephone_number": "913-403-9013",
            "fax_number": "913-273-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBROOK",
        "first_name": "JANE",
        "middle_name": "WINKLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03004",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1338",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1338",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T03004",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1338",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "T03004",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "KS",
            "license": "1338",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "T03004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "19207014",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219020D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.