Active NPI
Samantha Rau, OD
- Optometrist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2024019848
- Practice address
- 11010 Haskell Ave
Kansas City, KS 66109-8500 - Phone
- (816) 478-1230
- NPI assigned
- Jun 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2024019848 | MO | Primary |
Addresses
Primary practice location
11010 Haskell Ave
Kansas City, KS 66109-8500
Mailing address
7218 Nieman Rd
Shawnee, KS 66203-4460
Phone (316) 712-1647
Other names 1
- Samantha White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care LLC
Practice addresses (Care Compare)
11010 Haskell Ave
Kansas City, KS 66109-8500
Phone (816) 478-1230
9401 N Oak Trfy
Suite 200
Kansas City, MO 64155-3393
Phone (816) 478-1230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024019848 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Care LLC | Optometrist | Current | Accepting new patients |
| Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
11010 Haskell Ave
Kansas City, KS 66109
11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902
4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849
9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391
Interoperability endpoints
- samantha.rauod.p1@direct.dvc.nextgenshare.com
Organizations & group practices 4
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.
-
- Optometrist
- Leawood, KS
- NPI 1881884211
-
- Optometrist
- Raymore, MO
- NPI 1023597127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1295576874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7218 NIEMAN RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662034460",
"telephone_number": "316-712-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 HASKELL AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661098500",
"telephone_number": "816-478-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAU",
"first_name": "SAMANTHA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2024019848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "WHITE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.