Individual provider Active NPI

Sandra Vu

  • Optometrist
  • Shawnee, KS
National Provider Identifier
1861981599
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2087 Issued in KS
Practice address
6435 Nieman Rd
Shawnee, KS 66203-3325
Phone
(913) 631-6959
NPI assigned
May 8, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2087 KS Primary

Addresses

Primary practice location

6435 Nieman Rd
Shawnee, KS 66203-3325

Mailing address

948 S Sandalwood St
Wichita, KS 67230-9160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180717001578 KS Practitioner - Optometry 7517214935 Reassigns benefits to 1 organization
I20200110001146 MO Practitioner - Optometry 7517214935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Practice addresses (Care Compare)

1018 W Foxwood Dr
Discover Vision Centers
Raymore, MO 64083-9196
Phone (816) 478-1230

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC Optometrist CurrentSince Jul 15, 2018 Accepting new patients
Eye Care, LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Eye Care, LLC Optometrist CurrentSince Jul 15, 2018 Accepting new patients
Clifford L. Holt, O.D.,P.a. Optometrist Past Accepting new patients
Clifford L. Holt, O.D. Optometrist Past Accepting new patients
Eye Care LLC Optometrist Past Accepting new patients

Locations

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

670 S Commercial St
Harrisonville, MO 64701

4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536

1018 W Foxwood Dr
Raymore, MO 64083

Interoperability endpoints

  • Direct secure messaging: sandra.vu@direct.dvc.nextgenshare.com

Organizations & group practices 6

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1861981599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S SANDALWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033325",
            "telephone_number": "913-631-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.