Organization Active NPI

Jane Winkler Philbrook, OD, PA

  • Optometrist
  • Kansas City, KS
National Provider Identifier
1689856452
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1338 Issued in KS
Legal business name
JANE WINKLER PHILBROOK, OD, PA
Practice address
7161 State Ave
Kansas City, KS 66112-3001
Phone
(913) 299-3548
Fax
(913) 299-9830
NPI assigned
Dec 3, 2007
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Jane Winkler Philbrook, O.D.NPI 1073557112
Title
Pres/Secy
Phone
(913) 299-3548

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 1338 KS Primary

Addresses

Primary practice location

7161 State Ave
Kansas City, KS 66112-3001

Mailing address

7161 State Ave
PO Box 12174
Kansas City, KS 66112-3001
Phone (913) 299-3548

Other identifiers 1

IdentifierTypeStateIssuer
100219020BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000476 KS Part B Supplier - Clinic/Group Practice 8325110554 Receives reassigned benefits from 1 practitioner
Practice locations: Roeland Park, KS

National Provider Directory

National Provider Directory

Locations

7161 State Ave
Kansas City, KS 66112
Phone (913) 299-3548

Practitioners & affiliated clinicians

Practitioners 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1689856452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 STATE AVE",
            "address_2": "PO BOX 12174",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123001",
            "telephone_number": "913-299-3548",
            "fax_number": "913-299-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123001",
            "telephone_number": "913-299-3548",
            "fax_number": "913-299-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE WINKLER PHILBROOK, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "PHILBROOK",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "WINKLER",
        "authorized_official_title_or_position": "PRES/SECY",
        "authorized_official_telephone_number": "913-299-3548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219020B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.