Individual provider Active NPI

Scott E Foster, O.D.

  • Optometrist
  • Lee's Summit, MO
National Provider Identifier
1750378998
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2524 Issued in MO
Practice address
994 SW Ayrshire Dr
Lees Summit, MO 64081-2672
Phone
(816) 519-0700
Fax
(816) 554-0492
NPI assigned
Oct 3, 2005
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2524 MO Primary

Addresses

Primary practice location

994 SW Ayrshire Dr
Lees Summit, MO 64081-2672

Mailing address

994 SW Ayrshire Dr
Lees Summit, MO 64081-2672
Phone (816) 519-0700

Other identifiers 1

IdentifierTypeStateIssuer
312511306MedicaidMO

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100617000758 MO Practitioner - Optometry 5597895565 Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO2524MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RJM OD LLC Optometrist CurrentSince Jun 14, 2020 Accepting new patients

Locations

1717 W Jesse James Rd
Excelsior Springs, MO 64024
Phone (816) 262-2558

Organizations & group practices 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1750378998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 SW AYRSHIRE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812672",
            "telephone_number": "816-519-0700",
            "fax_number": "816-554-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 SW AYRSHIRE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812672",
            "telephone_number": "816-519-0700",
            "fax_number": "816-554-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312511306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.