NPIMap

Organization Active NPI

Ridgeview Eye Care LLC

  • Optometrist
  • Olathe, KS
National Provider Identifier
1053599522
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1779 Issued in KS
Legal business name
RIDGEVIEW EYE CARE LLC
Practice address
18208 W 119TH St
Olathe, KS 66061-9507
Phone
(913) 261-8327
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Trent Chandler Henderson, O.D.NPI 1386844819
Title
General Partner
Phone
(913) 261-8327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1795 KS
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1779 KS Primary

Addresses

Primary practice location

18208 W 119TH St
Olathe, KS 66061-9507

Mailing address

18208 W 119TH St
Olathe, KS 66061-9507
Phone (913) 261-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080826000647 KS Part B Supplier - Clinic/Group Practice 2668547621 Receives reassigned benefits from 6 practitioners
Practice locations: Desoto, KS; Lenexa, KS; Olathe, KS
O20250207000663 KS DME Supplier - Physician - Optometrist 2668547621 Practice locations: Olathe, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ridgeview Eye Care LLC18208 W 119TH St, Olathe, KS 66061-9507(913) 261-8327 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 1, 2008

National Provider Directory

National Provider Directory

Locations

33321 Lexington Ave
De Soto, KS 66018
Phone (913) 583-1991

18208 W 119th St
Olathe, KS 66061
Phone (913) 261-8327

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1053599522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619507",
            "telephone_number": "913-261-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619507",
            "telephone_number": "913-261-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2025-02-05",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "913-261-8327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1795",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.