Individual provider Active NPI

Jared Stoecklein, O.D.

  • Optometrist
  • Mission, KS
National Provider Identifier
1831547900
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2038 Issued in KS
Practice address
6120 Johnson Dr
Mission, KS 66202-3333
Phone
(913) 262-3937
Fax
(913) 262-3942
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2016020857 MO
Optometrist 152W00000X 2038 KS Primary

Addresses

Primary practice location

6120 Johnson Dr
Mission, KS 66202-3333

Mailing address

6120 Johnson Dr
Mission, KS 66202-3333
Phone (785) 798-7341

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
I20160701001587 KS Practitioner - Optometry 2769774280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pingel Family Eyecare, LLCGroup PAC ID 4385811306, 3 clinicians

Practice addresses (Care Compare)

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pingel Family Eyecare, LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Sabates Eye Centers PA Past Accepting new patients

Locations

6120 Johnson Dr
Mission, KS 66202
Phone (913) 262-3937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1831547900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "785-798-7341",
            "fax_number": "913-671-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOECKLEIN",
        "first_name": "JARED",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016020857",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.