NPIMap

Organization Active NPI

Sandra L Easter

  • Optometrist
  • Independence, KS
National Provider Identifier
1316365562
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1547 Issued in KS
Legal business name
SANDRA L EASTER
Practice address
115 W Laurel St
Independence, KS 67301-3311
Phone
(620) 331-9090
Fax
(620) 331-0011
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Sandra L. Easter, O. D.NPI 1871686055
Title
Owner
Phone
(620) 331-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1547 KS Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1958 KS

Addresses

Primary practice location

115 W Laurel St
Independence, KS 67301-3311

Mailing address

115 W Laurel St
Independence, KS 67301-3311
Phone (620) 331-9090

Other identifiers 2

IdentifierTypeStateIssuer
1871686055OtherKSBLUE CROSS BLUE SHIELD
1912346552MedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1316365562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013311",
            "telephone_number": "620-331-9090",
            "fax_number": "620-331-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013311",
            "telephone_number": "620-331-9090",
            "fax_number": "620-331-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L EASTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-331-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1547",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1871686055",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912346552",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.