CARLA JANE MOSTELLER


Address: 4600 W Kellogg Dr, Suite 215, Wichita, KS 67209-2568
Phone: 3169430433

CARLA JANE MOSTELLER (NPI# 1447320098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447320098
Entity Type Individual
Full Name CARLA JANE MOSTELLER
Credential OD
Practice Address 4600 W Kellogg Dr
Suite 215
Wichita
KS 67209-2568
Mailing Address 2335 N Cedar Downs Ln
Wichita
KS 67223-7038
Practice Telephone 3169430433
Practice Fax Number 3169430433
Mailing Telephone 3162146083
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist KS1557 KS Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS DEA MM0540092 01

Office Location

Street Address 4600 W KELLOGG DR
SUITE 215
City WICHITA
State KS
Zip Code 67209-2568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508874280 Marissa Emily Roderick Optometrist 4600 W Kellogg Dr, Suite 215, Wichita, KS 67209-2568 2006-08-04
1154647246 Kansas Hearingtechnologies Hearing Instrument Specialist 4600 W Kellogg Dr, Wichita, KS 67209-2568 2010-04-14
1124352653 Thien-lan Nhat Nguyen Optometrist 4600 W Kellogg Dr, Wichita, KS 67209-2568 2009-10-01
1437322211 Kansas Better Hearing Solutions LLC Hearing Instrument Specialist 4600 W Kellogg Dr, Wichita, KS 67209-2568 2008-04-11
1356496863 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 4600 W Kellogg Dr, Town West Square Ste 215, Wichita, KS 67209-2568 2007-01-24
1174639975 Kessler Eyecare Pa Optometrist 4600 W Kellogg Dr, Wichita, KS 67209-2568 2006-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634878 Vonda Jeanne Foster Pharmacist 1402 S. Ridge Rd, Wichita, KS 67209 2020-09-18
1780290437 Gaia R Priddle Pharmacist 1402 S Ridge Road, Wichita, KS 67209 2020-09-18
1134735889 Thomas Allan Ruesch Pharmacist 1402 South Ridge Road, Wichita, KS 67209 2020-09-18
1619454337 Zachary Hill Pharmacist 6110 W Kellogg, Wichita, KS 67209 2018-07-25
1922401785 Jesse C Hidalgo Jr. Hearing Instrument Specialist 10318 W Maple St, Wichita, KS 67209 2014-10-07
1932458106 West Wichita Assisted Living, LLC Assisted Living Facility 629 S. Maize Ct, Wichita, KS 67209 2012-09-04
1669782231 Gracious Senior Living, LLC Nursing Facility/Intermediate Care Facility 551 S. Holland, Wichita, KS 67209 2010-10-18
1740598044 Devin Jeanne Vrana Chiropractor 1247 S Tyler Rd, Wichita, KS 67209 2010-09-21
1881881019 Jessica Harmon Counselor 501 S Turquoise St, Wichita, KS 67209 2007-10-02
1225246317 Sullivan Gang Care Center Technician 6719 W. Douglas Circle, Wichita, KS 67209 2007-05-20
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114544392 Diana Ho Optometrist 980 Oliver Street, Wichita, KS 67218 2020-07-03
1861040909 Larisa Rivera Optometrist 949 S Glendale St, Wichita, KS 67218-3210 2019-09-02
1427612084 Kansas Physicians Eyecare Group, P.C. Optometrist 438 S Rock Rd, Wichita, KS 67207-1150 2019-04-29
1396213799 Wichita Optometry, P.a. Optometrist 2330 N Amidon Ave, Wichita, KS 67204-5630 2018-11-05
1710463500 Macey Pruett Optometrist 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 2018-07-14
1295116333 Jedediah Reece Optometrist 7570 W 21st St N Ste 1002, Wichita, KS 67205-1763 2015-06-15
1093121097 The Eye Gallery, LLC Optometrist 3084 N. Maize Rd, Wichita, KS 67205 2014-07-10
1427498047 Vanlang Q Huynh Optometrist 7700 E Kellogg Dr Ste 703a, Wichita, KS 67207-1787 2013-06-27
1063790145 Megan Nichole Baldwin Optometrist 2146 N Collective Ln, 110, Wichita, KS 67206-3573 2011-07-24
1649578402 Lentz Enterprises, LLC Optometrist 670 E 47th St S, Wichita, KS 67216-1769 2011-03-03
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City WICHITA
Zip Code 67209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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