Individual provider Active NPI

Carla Jane Mosteller, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1447320098
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1557 Issued in KS
Practice address
4600 W Kellogg Dr
Suite 215
Wichita, KS 67209-2568
Phone
(316) 943-0433
Fax
(316) 943-0433
NPI assigned
Nov 9, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

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 KS1557 KS Primary

Addresses

Primary practice location

4600 W Kellogg Dr
Suite 215
Wichita, KS 67209-2568

Mailing address

2335 N Cedar Downs LN
Wichita, KS 67223-7038
Phone (316) 214-6083

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
I20050606000436 KS Practitioner - Optometry 0042253684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carla J Mosteller OD PAGroup PAC ID 5092730804, 2 clinicians

Practice addresses (Care Compare)

2441 N Maize Rd
Suite 2007B
Wichita, KS 67205-6502
Phone (316) 272-1705

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1557KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Wichita PA Optometrist CurrentSince Apr 17, 1998 Accepting new patients
Carla J Mosteller OD PA Optometrist CurrentSince Aug 1, 2005 Accepting new patients

Locations

2122 N Rock Rd
Wichita, KS 67206

2441 N Maize Rd
Ste 2007
Wichita, KS 67205
Phone (316) 272-1704

2441 N Maize Rd
Ste 2007B
Wichita, KS 67205
Phone (316) 272-1705

4600 W Kellogg Dr
Ste 215
Wichita, KS 67209
Phone (316) 943-0306

7700 E Kellogg Dr
Ste 1471
Wichita, KS 67207
Phone (316) 682-7800

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447320098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 N CEDAR DOWNS LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672237038",
            "telephone_number": "316-214-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W KELLOGG DR",
            "address_2": "SUITE 215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092568",
            "telephone_number": "316-943-0433",
            "fax_number": "316-943-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "CARLA",
        "middle_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.