Individual provider Active NPI

Sarah Scoggin Wolf, OD

  • Optometrist
  • Fairway, KS
National Provider Identifier
1083100671
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2086 Issued in KS
Practice address
3414 Shawnee Mission Pkwy
Fairway, KS 66205-2663
Phone
(913) 362-2323
NPI assigned
Jul 6, 2018
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2086 KS Primary
Optometrist 152W00000X 2018019319 MO

Addresses

Primary practice location

3414 Shawnee Mission Pkwy
Fairway, KS 66205-2663

Mailing address

3414 Shawnee Mission Pkwy
Fairway, KS 66205-2663
Phone (816) 873-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180820000213 MO Practitioner - Optometry 8426307851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Stone Optometry Inc.Group PAC ID 7719053271, 2 clinicians

Practice addresses (Care Compare)

2012 Cherry Hill Dr
Suite 201
Columbia, MO 65203-5882
Phone (573) 445-7750

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Stone Optometry Inc. CurrentSince Jun 3, 2024 Accepting new patients

Locations

2012 Cherry Hill Dr
Ste 201
Columbia, MO 65203
Phone (573) 234-1000

Organizations & group practices 2

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1083100671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 SHAWNEE MISSION PKWY",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052663",
            "telephone_number": "816-873-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 SHAWNEE MISSION PKWY",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052663",
            "telephone_number": "913-362-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SARAH",
        "middle_name": "SCOGGIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2086",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018019319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairway, KS

Sources for this page

Verify at the official NPI Registry.