Individual provider Active NPI

Amanda Rachelle Strom, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1174534051
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1724 Issued in KS
Practice address
7200 W 129TH St
Overland Park, KS 66213-2624
Phone
(913) 897-9299
Fax
(913) 897-3031
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004034233 MO
Optometrist 152W00000X 1724 KS Primary

Addresses

Primary practice location

7200 W 129TH St
Overland Park, KS 66213-2624

Mailing address

7200 W 129TH St
Overland Park, KS 66213-2624
Phone (913) 897-9299

Other identifiers 3

IdentifierTypeStateIssuer
651076OtherKSBCBSKS
200347910AMedicaidKS
36255017OtherMOBCBSKC

Other names 1

  • Amanda Rachelle Windes 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
I20051004000569 KS Practitioner - Optometry 9739114240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stiles Eyecare Excellence and Glaucoma Institute PAGroup PAC ID 8224033188, 5 clinicians

Practice addresses (Care Compare)

7200 W 129TH St
Overland Park, KS 66213-2624
Phone (913) 897-9299

Merit-based Incentive Payment System (MIPS)

Final score
91.97 of 100Reported as group
Quality
94.07
Improvement activities
40
Cost
81.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1724KSMDCounseling Psychologist
2004034233MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stiles Eyecare Excellence & Glaucoma Institute PA CurrentSince May 28, 2014 Accepting new patients

Locations

7200 W 129th St
Overland Park, KS 66213
Phone (816) 942-1113

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1174534051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W 129TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132624",
            "telephone_number": "913-897-9299",
            "fax_number": "913-897-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W 129TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132624",
            "telephone_number": "913-897-9299",
            "fax_number": "913-897-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "AMANDA",
        "middle_name": "RACHELLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004034233",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "651076",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347910A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "36255017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WINDES",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.