Individual provider Active NPI

Erin Tatum Latter, O.D.

  • Optometrist
  • Shawnee, KS
National Provider Identifier
1598078123
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1872 Issued in KS
Practice address
15700 Shawnee Mission Pkwy
Shawnee, KS 66217-9321
Phone
(913) 787-0196
Fax
(913) 273-1044
NPI assigned
Jul 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1872 KS Primary
Optometrist 152W00000X TA2220 MD
Optometrist 152W00000X 2010032151 MO
Optometrist 152W00000X OPC 4543 FL

Addresses

Primary practice location

15700 Shawnee Mission Pkwy
Shawnee, KS 66217-9321

Mailing address

PO Box 860666
Shawnee, KS 66286-0666
Phone (913) 787-0196

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
I20101204000014 KS Practitioner - Optometry 8022205954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15700 Shawnee Mission Pkwy
Shawnee, KS 66217-9321
Phone (913) 787-0196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1872KSMDClinical Psychologist
OPC 4543FLMDOptometrist
TA2220MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Latter OD LLC Optometrist CurrentSince Aug 21, 2012 Accepting new patients
Professional Eyecare Zona Rosa Inc. Optometrist Past Accepting new patients
Professional Eyecare - Fountains Inc Optometrist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1598078123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860666",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662860666",
            "telephone_number": "913-787-0196",
            "fax_number": "913-273-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 SHAWNEE MISSION PKWY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179321",
            "telephone_number": "913-787-0196",
            "fax_number": "913-273-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTER",
        "first_name": "ERIN",
        "middle_name": "TATUM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-25",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1872",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2220",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2010032151",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.