Individual provider Active NPI

Jon Stoppel, O.D

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1114118882
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1790 Issued in KS
Practice address
5703 W 95TH St
Overland Park, KS 66207-2919
Phone
(913) 341-4508
Fax
(913) 341-4570
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1790 KS Primary

Addresses

Primary practice location

5703 W 95TH St
Overland Park, KS 66207-2919

Mailing address

5703 W 95TH St
Overland Park, KS 66207-2919
Phone (913) 341-4508

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
I20071103000160 KS Practitioner - Optometry 5496842627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Hawks, Besler and Rogers Optometrists PAGroup PAC ID 8921073792, 4 clinicians

Practice addresses (Care Compare)

5703 W 95TH St
DRS. Hawks Besler Rogers and Stoppel
Overland Park, KS 66207-2919
Phone (913) 341-4508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Hawks Besler & Rogers Optometrists PA Optometrist CurrentSince Aug 1, 2007 Accepting new patients
DRS Hawks, Besler and Rogers Optometrist PastSince Aug 1, 2007 Accepting new patients

Locations

315 E Main St
Gardner, KS 66030
Phone (913) 856-6360

5703 W 95th St
Shawnee Msn, KS 66207
Phone (913) 341-4508

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1114118882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072919",
            "telephone_number": "913-341-4508",
            "fax_number": "913-341-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072919",
            "telephone_number": "913-341-4508",
            "fax_number": "913-341-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPPEL",
        "first_name": "JON",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.