Rebecca C. Sparks, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1496-3 Issued in KS

Practice address

307 W Hwy 54
Ste 100
Andover, KS 67002-7849

Phone

(316) 201-1837

NPI assigned

May 22, 2006

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebeccasparks@sparkseyecare.direct.eyemdemr.com

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.

• Sparks Eye Care LLC

  • Optometrist
  • Andover, KS
  • NPI 1255881603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1659325561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W US HIGHWAY 54 STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027849",
            "telephone_number": "316-201-1837",
            "fax_number": "316-239-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W HWY 54",
            "address_2": "STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027849",
            "telephone_number": "316-201-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "REBECCA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1496-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100276150D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Smalley
• Christiane Smith, M.D.
• Tamara Kristin Smith, ARNP
• Solution Focused Therapeutic Alliance LLC
• Sparks Eye Care LLC
• Hannah Speagle
• Spectrum Developmental Services Inc
• Sprout Speech Studio LLC
• Nicole R Stahl, PTA
• Aimee Christine Steffan, LSCSW

• Optometrist in Andover, KS
• Providers in Andover, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.

Verify at the official NPI Registry.