Individual provider Active NPI

Heather Hanson Wooten, OD

  • Optometrist
  • Salina, KS
National Provider Identifier
1154406478
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1717 Issued in KS
Practice address
2900 S 9TH St
Salina, KS 67401-7879
Phone
(785) 823-8844
Fax
(785) 823-8864
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1717 KS Primary

Addresses

Primary practice location

2900 S 9TH St
Salina, KS 67401-7879

Mailing address

2900 S 9TH St
Salina, KS 67401-7879
Phone (785) 823-8844

Other names 1

  • Ms. Heather Dawn Hanson Former name

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
I20051208000212 KS Practitioner - Optometry 1254352057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vision Optometry PAGroup PAC ID 6709913593, 2 clinicians

Practice addresses (Care Compare)

8113 E Kellogg Dr
Suite 500
Wichita, KS 67207-1840
Phone (316) 688-0973

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1717KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Optometry, P.a. Optometrist CurrentSince Sep 29, 2016 Accepting new patients
Eye Associates of Wichita PA Optometrist Past Accepting new patients
Carla J Mosteller OD PA Optometrist PastSince Aug 1, 2005 Accepting new patients
Steven P Miller OD PA Optometrist Past Accepting new patients
Heather H. Wooten, O.D., P.a. Optometrist PastSince Jun 5, 2008 Accepting new patients

Locations

8113 E Kellogg Dr
Ste 500
Wichita, KS 67207
Phone (316) 685-6861

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1154406478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017879",
            "telephone_number": "785-823-8844",
            "fax_number": "785-823-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017879",
            "telephone_number": "785-823-8844",
            "fax_number": "785-823-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "HEATHER",
        "middle_name": "HANSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HANSON",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.