NPIMap

Organization Active NPI

Family Eyecare of Overland Park, P.a.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1013132943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1344 Issued in KS
Legal business name
FAMILY EYECARE OF OVERLAND PARK, P.A.
Practice address
7701 Frontage Rd
Suite a
Overland Park, KS 66204-2364
Phone
(913) 648-3072
Fax
(913) 648-6597
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas A Mack, O.D.
Title
President
Phone
(913) 648-3072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X KS1344 KS Primary

Addresses

Primary practice location

7701 Frontage Rd
Suite a
Overland Park, KS 66204-2364

Mailing address

7701 Frontage Rd
Suite a
Overland Park, KS 66204-2364
Phone (913) 648-3072

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 FRONTAGE RD",
            "address_2": "SUITE A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042364",
            "telephone_number": "913-648-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 FRONTAGE RD",
            "address_2": "SUITE A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042364",
            "telephone_number": "913-648-3072",
            "fax_number": "913-648-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF OVERLAND PARK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-648-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.