Individual provider Active NPI

Matthew Scott Lowenstein, O.D.

  • Optometrist
  • Olathe, KS
National Provider Identifier
1689712622
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1535 Issued in KS
Practice address
12120 S Strang Line Rd
Olathe, KS 66062-5219
Phone
(913) 244-1262
Fax
(877) 730-1275
NPI assigned
Feb 2, 2007
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1535 KS Primary

Addresses

Primary practice location

12120 S Strang Line Rd
Olathe, KS 66062-5219

Mailing address

12120 S Strang Line Rd
Olathe, KS 66062-5219
Phone (913) 244-1262

Other identifiers 2

IdentifierTypeStateIssuer
100410380AMedicaidKS
100410380BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050909000616 KS Practitioner - Optometry 0345272357 Practice locations: Olathe, KS
I20170412000739 MO Practitioner - Optometry 0345272357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12120 S Strang Line Rd
Olathe, KS 66062-5219
Phone (913) 244-1262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1535KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical Mo LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Hunkeler Eye Institute PA Optometrist Past Accepting new patients
Eye-Pros of Shawnee Inc Optometrist Past Accepting new patients
Eye-Pros of Olathe Inc. Optometrist Past Accepting new patients

Locations

307 E South St
Harrisonville, MO 64701
Phone (816) 380-7398

1501 SW 3rd St
Lees Summit, MO 64081
Phone (615) 497-7460

2840 W Clay St
Saint Charles, MO 63301
Phone (636) 724-0829

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 4

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1689712622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 S STRANG LINE RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625219",
            "telephone_number": "913-244-1262",
            "fax_number": "913-397-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 S STRANG LINE RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625219",
            "telephone_number": "913-244-1262",
            "fax_number": "877-730-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWENSTEIN",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410380A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410380B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.