Active NPI
Whitney Lane Scott, O.D.
- Optometrist
- Wichita, KS
National Provider Identifier
1962735324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1850
- Practice address
- 4600 W Kellogg Dr # L01
Wichita, KS 67209-2568 - Phone
- (316) 946-0105
- Fax
- (316) 946-0145
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1850 | KS | Primary |
Addresses
Primary practice location
4600 W Kellogg Dr # L01
Wichita, KS 67209-2568
Mailing address
4600 W Kellogg Dr # L01
Wichita, KS 67209-2568
Phone (316) 946-0105
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100701000051 | KS | Practitioner - Optometry | 7911038229 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1850 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Eyecare PA | Optometrist | Current | Accepting new patients |
| Kessler Eyecare, P.a. | Optometrist | Past | Accepting new patients |
Locations
16957 City Center Dr
Lenexa, KS 66219
4600 W Kellogg Dr
#L1
Wichita, KS 67209
Phone (316) 946-0105
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.
-
- Optometrist
- Overland Park, KS
- NPI 1750392643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1962735324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 W KELLOGG DR # L01",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092568",
"telephone_number": "316-946-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 W KELLOGG DR # L01",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092568",
"telephone_number": "316-946-0105",
"fax_number": "316-946-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "WHITNEY",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.