Organization Active NPI

Ad Astra Eye, LLC

  • Ophthalmology Physician
  • Lawrence, KS
National Provider Identifier
1770016727
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-32997 Issued in KS
Legal business name
AD ASTRA EYE, LLC
Practice address
4955 Research Pkwy
Lawrence, KS 66047-3944
Phone
(785) 424-8805
Fax
(913) 229-7030
NPI assigned
Apr 6, 2017
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. M Scott Hickman, MDNPI 1114953965
Title
Owner
Phone
(785) 424-8805

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
Ophthalmology Physician 207W00000X 04-32997 KS Primary

Addresses

Primary practice location

4955 Research Pkwy
Lawrence, KS 66047-3944

Mailing address

4955 Research Pkwy
Lawrence, KS 66047-3944
Phone (785) 424-8805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170911002287 KS Part B Supplier - Clinic/Group Practice 9830462043 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS; Lenexa, KS; Mission, KS

National Provider Directory

National Provider Directory

Locations

1429 Oread West St
Lawrence, KS 66049

1429 Oread West St
Ste 110A
Lawrence, KS 66049
Phone (785) 424-8805

4955 Research Park Way
Lawrence, KS 66047
Phone (785) 424-8805

17795 W 106th St
Ste 202
Olathe, KS 66061
Phone (913) 296-0712

9479 Meadow View Dr
Shawnee, KS 66227
Phone (785) 424-8805

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1770016727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 RESEARCH PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473944",
            "telephone_number": "785-424-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 RESEARCH PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473944",
            "telephone_number": "785-424-8805",
            "fax_number": "913-229-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD ASTRA EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "M SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-424-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-32997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.