Individual provider Active NPI

Richard A Preckel

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1053096446
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2024021875 Issued in MO
Practice address
9401 N Oak Trfy Ste 200
Kansas City, MO 64155-3393
Phone
(816) 720-5261
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2024021875 MO Primary

Addresses

Primary practice location

9401 N Oak Trfy Ste 200
Kansas City, MO 64155-3393

Mailing address

833 Tara Estates CT
Chesterfield, MO 63005-3668
Phone (314) 640-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000684 MO Practitioner - Optometry 7719426543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

9401 N Oak Trfy
Suite 200
Kansas City, MO 64155-3393
Phone (816) 478-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Eye Care LLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Eye Care, LLC Optometrist Current Accepting new patients

Locations

670 S Commercial St
Harrisonville, MO 64701

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 296-9391

1018 W Foxwood Dr
Raymore, MO 64083

Networks

  • IA HMO
  • IA HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1053096446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 TARA ESTATES CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630053668",
            "telephone_number": "314-640-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 N OAK TRFY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553393",
            "telephone_number": "816-720-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECKEL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024021875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.