Eye Connect Vision Therapy

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

EYE CONNECT VISION THERAPY

Practice address

12330 E 21St St N Ste B
Wichita, KS 67206-3596

Phone

(316) 712-5763

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Megan Baldwin, ODNPI 1063790145

Title

Owner

Phone

(316) 712-5763

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Nichole Baldwin, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1063790145
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1023835683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 E 21ST ST N STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063596",
            "telephone_number": "316-712-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 E 21ST ST N STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063596",
            "telephone_number": "316-712-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONNECT VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-712-5763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Therapy Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Vision Therapy Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.