Active NPI
Scott T Landes, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1700987468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KS10862
- Practice address
- 1710 S Hillside
Wichita, KS 67211 - Phone
- (316) 684-2362
- Fax
- (316) 684-2603
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KS10862 | KS | Primary |
Addresses
Primary practice location
1710 S Hillside
Wichita, KS 67211
Mailing address
1710 S Hillside
Wichita, KS 67211
Phone (316) 684-2362
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170525001645 | KS | Practitioner - Optometry | 2163531609 | Practice locations: Wichita, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1973
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1710 S Hillside St
Wichita, KS 67211-4021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10862 | KS | MD | Social Worker |
| KS10862 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1700987468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 S HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "67211",
"telephone_number": "316-684-2362",
"fax_number": "316-684-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 S HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "67211",
"telephone_number": "316-684-2362",
"fax_number": "316-684-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDES",
"first_name": "SCOTT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "KS10862",
"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 Jun 30, 2008; 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.