Active NPI
Betsy Alyse Koster, O.D.
- Optometrist
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1667
- Practice address
- 3702 Frederick Ave
Suite #12
Saint Joseph, MO 64506-3059 - Phone
- (816) 233-9898
- NPI assigned
- May 20, 2016
- Last updated
- Jan 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2016015956 | MO | |
| Optometrist | 152W00000X | 1667 | NE | Primary |
Addresses
Primary practice location
3702 Frederick Ave
Suite #12
Saint Joseph, MO 64506-3059
Mailing address
3702 Frederick Ave Ste 12
Saint Joseph, MO 64506-3084
Phone (816) 233-9898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19100 Ridgewood Parkway
BLDG 1 7TH Floor
San Antonio, TX 78259-0001
5436 NW Walden Dr
Kansas City, MO 64151-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients |
Locations
8600 Ward Pkwy
Ste 710
Kansas City, MO 64114
Phone (816) 523-8882
7505 Towne Center Pkwy
Ste 101
Papillion, NE 68046
Phone (402) 339-2481
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, 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": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1174970008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 FREDERICK AVE STE 12",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063084",
"telephone_number": "816-233-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 FREDERICK AVE",
"address_2": "SUITE #12",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063059",
"telephone_number": "816-233-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTER",
"first_name": "BETSY",
"middle_name": "ALYSE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2016015956",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.