Alyssa Baily Sherwood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2017018197 Issued in MO

Practice address

5769 NE Antioch Rd
Gladstone, MO 64119-2017

Phone

(816) 454-3937

Fax

(816) 459-7282

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Eye Clinic Inc.Group PAC ID 8729018668, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jackson County Eye Clinic Inc.

  • Optometrist
  • Lees Summit, MO
  • NPI 1144267287
  Medicare reassignment Care Compare group NPD
• Viking Vision, Inc.

  • Optometrist
  • Gladstone, MO
  • NPI 1306316914
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1245769801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 NE ANTIOCH RD",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192017",
            "telephone_number": "816-454-3937",
            "fax_number": "816-459-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 NE ANTIOCH RD",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192017",
            "telephone_number": "816-454-3937",
            "fax_number": "816-459-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "ALYSSA",
        "middle_name": "BAILY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017018197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yashoni Shah
• Shani Pure Style LLC
• Marilyn Althoff Shankland
• Austin Sheil, PA-C
• Jessica Lucille Shelton-Treece, DO
• Charles J Siegel, M.D.
• Alexis Dianna Smith, DOULA
• Cole Spady, OD
• Spinal Health Center LLC
• Rebecca Stannard

• Optometrist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.

Verify at the official NPI Registry.