Sarah Scoggin Wolf, OD
Individual provider Active NPI Optometrist · Fairway, KS
NPI 1083100671 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1083100671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2086 (KS)
- Practice address
- 3414 Shawnee Mission Pkwy
Fairway, KS 66205-2663 - Phone
- (913) 362-2323
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
2012 Cherry Hill Dr
Suite 201
Columbia, MO 65203-5882
Phone (573) 445-7750
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820000213 | MO | Practitioner - Optometry | 8426307851 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018019319 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Stone Optometry Inc. | Current |
Accepting new patients |
Locations
2012 Cherry Hill Dr
Ste 201
Columbia, MO 65203
Phone (573) 234-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2086 | KS | Yes |
| 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
Other providers in Fairway, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.