Organization Active NPI

Brett Oxandale, LLC

  • Optometrist
  • Topeka, KS
National Provider Identifier
1962739680
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1787 Issued in KS
Legal business name
BRETT OXANDALE, LLC
Practice address
2600 NW Rochester Rd
Suite 1
Topeka, KS 66617-1270
Phone
(785) 234-1600
Fax
(785) 234-1601
NPI assigned
Nov 17, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brett Michael Oxandale, OD
Title
Sole Member
Phone
(785) 234-1600

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

4123 SW Gage Center Dr
Topeka, KS 66604
Phone (785) 233-7744

2600 NW Rochester Rd
Ste 1
Topeka, KS 66617
Phone (785) 234-1600

1140 SW Fairlawn Rd
Topeka, KS 66604
Phone (785) 235-2374

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1787 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 NW Rochester Rd
Suite 1
Topeka, KS 66617-1270

Mailing address

2600 NW Rochester Rd
Suite 1
Topeka, KS 66617-1270
Phone (785) 234-1600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200441550AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2009.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1962739680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NW ROCHESTER RD",
            "address_2": "SUITE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171270",
            "telephone_number": "785-234-1600",
            "fax_number": "785-234-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NW ROCHESTER RD",
            "address_2": "SUITE 1",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171270",
            "telephone_number": "785-234-1600",
            "fax_number": "785-234-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT OXANDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "OXANDALE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "785-234-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.