NPIMap

Organization Active NPI

Eye Associates of Wichita PA

  • Optometrist
  • Wichita, KS
National Provider Identifier
1649355975
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ASSOCIATES OF WICHITA PA
Practice address
4600 W Kellogg
Suite 215
Wichita, KS 67209
Phone
(316) 943-0433
Fax
(316) 943-0433
NPI assigned
Oct 26, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Carla J Mosteller, ODNPI 1447320098
Title
Owner Optometrist
Phone
(316) 943-0433

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

4600 W Kellogg
Suite 215
Wichita, KS 67209

Mailing address

4600 W Kellogg Dr
215
Wichita, KS 67209-2568
Phone (316) 943-0433

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1649355975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W KELLOGG DR",
            "address_2": "215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092568",
            "telephone_number": "316-943-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W KELLOGG",
            "address_2": "SUITE 215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67209",
            "telephone_number": "316-943-0433",
            "fax_number": "316-943-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF WICHITA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MOSTELLER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "316-943-0433",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.