Individual provider Active NPI

Whitney Lane Scott, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1962735324
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1850 Issued in KS
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

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000051 KS Practitioner - Optometry 7911038229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1850KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Eyecare PA Optometrist CurrentSince Nov 7, 2009 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.

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

Verify at the official NPI Registry.