Individual provider Active NPI

Lisa Sandell, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1154577112
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1825 Issued in KS
Practice address
437 N Tyler Rd
Wichita, KS 67212-3630
Phone
(316) 722-1001
Fax
(316) 722-1073
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1825 KS Primary

Addresses

Primary practice location

437 N Tyler Rd
Wichita, KS 67212-3630

Mailing address

437 N. Tyler Rd
Wichita, KS 67212-3630
Phone (316) 722-1001

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
I20080917000503 KS Practitioner - Optometry 4385711324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Family Vision Clinic, P.a.Group PAC ID 2365499928, 6 clinicians

Practice addresses (Care Compare)

437 N Tyler Rd
Wichita, KS 67212-3630
Phone (316) 722-1001

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as individual
Quality
60.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Family Vision Clinic, P.a. Optometrist CurrentSince Feb 1, 2016 Accepting new patients

Locations

437 N Tyler Rd
Wichita, KS 67212
Phone (316) 722-1001

Organizations & group practices 1

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1154577112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N. TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123630",
            "telephone_number": "316-722-1001",
            "fax_number": "316-722-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123630",
            "telephone_number": "316-722-1001",
            "fax_number": "316-722-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELL",
        "first_name": "LISA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.