Jamie L Speth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1833 Issued in KS

Practice address

9300 E 29TH St N Ste 315
Wichita, KS 67226-2184

Phone

(316) 425-0445

Fax

(316) 425-0460

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Jamie L Kills Crow Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baalman & Associates Eye Care Center LLC

  • Optometrist
  • Wichita, KS
  • NPI 1518339050
  Medicare reassignment NPD
• Ict Eye LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1427446178
  Medicare reassignment NPD
• Mobileyes Optometry LLC

  • Optometrist
  • Wichita, KS
  • NPI 1285385823
  NPD Authorized official
• Carla J Mosteller OD PA

  • Optometrist
  • Wichita, KS
  • NPI 1831274166
  NPD (past)
• Curtis R. Anderson, O.D.

  • Optometrist
  • Lawrence, KS
  • NPI 1417048141
  NPD (past)
• Eye Associates of Wichita PA

  • Optometrist
  • Wichita, KS
  • NPI 1649355975
  NPD (past)
• Ronald M. Jackson, O.D. Chartered

  • Optometrist
  • Wichita, KS
  • NPI 1912004557
  NPD (past)
• Joel H. Goldstein MD PC

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1952395600
  NPD (past)
• University Physicians Incorporated

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1962461889
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1659429116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 315",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262184",
            "telephone_number": "316-425-0445",
            "fax_number": "316-425-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 315",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262184",
            "telephone_number": "316-425-0445",
            "fax_number": "316-425-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETH",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2442",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006786860A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "KILLS CROW",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keri Dawn Spencer, NP-C
• Kyle Spencer, KCPM
• Shauna L Spencer, RN
• Tammy Spencer, CNA/MSW
• Teresa L Spencer, MA, CCC-SLP
• Joey Speth, PHARM.D
• Pamela Speth, MS, LCMFT
• Mo Spicer
• Monica Schmidt Spicer
• Spinemed Specialists, L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.