Individual provider Active NPI

Sara Elizabeth Stockwell, OD

  • Optometrist
  • Lees Summit, MO
National Provider Identifier
1164093548
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
773 Issued in SD
Practice address
301 NE Mulberry St Ste 101
Lees Summit, MO 64086-6016
Phone
(816) 525-3937
Fax
(816) 587-3555
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 773 SD Primary

Addresses

Primary practice location

301 NE Mulberry St Ste 101
Lees Summit, MO 64086-6016

Mailing address

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Other practice location 1

5151 NW 88th St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, KS, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210818003193 SD Practitioner - Optometry 8628473345 Reassigns benefits to 1 organization
I20230426000997 KS Practitioner - Optometry 8628473345 Reassigns benefits to 1 organization
I20230426001627 MO Practitioner - Optometry 8628473345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moyes Eye Center, P.C.Group PAC ID 3173537800, 10 clinicians

Practice addresses (Care Compare)

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

7301 Mission Rd
Suite 300
Prairie Village, KS 66208-3032
Phone (913) 354-8499

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
95.31
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
773SDMDClinical Social Worker
2187KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Moyes Eye Center, P.C. CurrentSince May 1, 2023 Accepting new patients
Angela R. Gulbranson OD, PC CurrentSince Jul 21, 2022 Accepting new patients
Angela R. Gulbranson, OD, PC Optometrist Current Accepting new patients

Locations

1004 Progress Dr
Ste 215
Lansing, KS 66043
Phone (913) 682-2900

1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409

5151 NW 88th St
Kansas City, MO 64154
Phone (816) 420-3939

301 NE Mulberry St
Ste 101
Lees Summit, MO 64086
Phone (816) 525-3937

200 NE Mulberry St
Ste 200
Lees Summit, MO 64086

6144 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 271-7100

6201 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 274-6717

Interoperability endpoints

  • Direct secure messaging: sstockwell@moyeseye.direct.eyemdemr.com

Organizations & group practices 3

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1164093548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "816-746-9800",
            "fax_number": "816-746-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866016",
            "telephone_number": "816-525-3937",
            "fax_number": "816-587-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 NW 88th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641542700",
            "country_code": "US",
            "telephone_number": "816-746-9800",
            "fax_number": "816-746-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.