Individual provider Active NPI

Sheri Lynne Speak, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1245339217
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS 1469-3 Issued in KS
Practice address
8532 W 135TH St
Overland Park, KS 66223-1212
Phone
(913) 851-2010
Fax
(913) 948-9864
NPI assigned
Sep 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS 1469-3 KS Primary

Addresses

Primary practice location

8532 W 135TH St
Overland Park, KS 66223-1212

Mailing address

8532 W 135TH St
Overland Park, KS 66223-1212
Phone (913) 851-2010

Other identifiers 2

IdentifierTypeStateIssuer
KS 1469-3OtherKSSTATE LICENSE
T03176OtherMOMISSOURI LICENSE

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
I20080529000088 KS Practitioner - Optometry 7719057199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8532 W 135TH St
Overland Park, KS 66223-1212
Phone (913) 851-2010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS 1469-3KSMDOptometrist
0000KSMDMassage Therapist
1469KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Eyecare & Designer Optical, LLC Optometrist CurrentSince Apr 1, 2008 Accepting new patients
Blue Valley Eyecare, LLC Optometrist PastSince Jul 1, 1999 Accepting new patients

Locations

8532 W 135th St
Overland Park, KS 66223
Phone (913) 851-2010

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245339217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231212",
            "telephone_number": "913-851-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231212",
            "telephone_number": "913-851-2010",
            "fax_number": "913-948-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAK",
        "first_name": "SHERI",
        "middle_name": "LYNNE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS 1469-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "KS 1469-3",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "T03176",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.