DR. SAM WILLIAM ODLE O.D
NPI 1053392936
Optometrist in Manhattan, KS

Q: What is Sam Odle's NPI number?

The NPI number for Sam Odle is 1053392936. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Sam Odle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Odle was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2005

3012 ANDERSON AVE, MANHATTAN, KS 66503(785) 537-1118(785) 537-8005 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sam William Odle O.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM WILLIAM ODLE O.D (NPI 1053392936) is an individual optometrist in Manhattan, Kansas, licensed in Kansas (KS-1199-2) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1053392936

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SAM WILLIAM ODLECredential: O.D

Location Address3012 ANDERSON AVEManhattan, KS 66503-2809

Mailing Address2800 Sw Wanamaker Rd, Suite 192Topeka, KS 66614-4293 · (785) 272-0707 · Fax (785) 271-1512

Phone(785) 537-1118

Fax(785) 537-8005

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateJune 25, 2010

✔ NPI 1053392936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KS · KS-1199-2

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.

3012 ANDERSON AVE, Manhattan, KS 66503

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Other Identifiers 8

Other410038216Medicare Railroad

Other410034609Medicare Railroad

Medicaid100218020AKS

Other005036KS · Bcbs

Medicare UPINT43625KS

Medicare PIN059825KS

Medicare PIN005036

Other059825Bcbs

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLYNN ANN DITTEMORE O.D.

Optometrist