Individual provider Active NPI

Alan Scott Wiggins, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1831422831
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1854 Issued in KS
Practice address
3030 N Rock Rd
Wichita, KS 67226-1309
Phone
(316) 636-2568
NPI assigned
Sep 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1854 KS Primary

Addresses

Primary practice location

3030 N Rock Rd
Wichita, KS 67226-1309

Mailing address

3030 N Rock Rd
Wichita, KS 67226-1309
Phone (316) 636-2568

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000096 KS Practitioner - Optometry 3274672407 Reassigns benefits to 1 organization
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Health Clinic IncGroup PAC ID 5193632941, 15 clinicians

Practice addresses (Care Compare)

527 N Grove St
Wichita, KS 67214-4520
Phone (316) 262-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Health Clinic Inc Current Accepting new patients
Hunter Health Clinic, Inc CurrentSince Jul 27, 2022 Accepting new patients
Hunter Health Clinic, Inc CurrentSince Jul 27, 2022 Accepting new patients

Locations

2318 E Central Ave
Wichita, KS 67214
Phone (316) 262-2415

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1831422831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261309",
            "telephone_number": "316-636-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261309",
            "telephone_number": "316-636-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.