Organization Active NPI

Carondelet Eye Care Associates PC

  • Ophthalmology Physician
  • Kansas City, MO
National Provider Identifier
1063436673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CARONDELET EYE CARE ASSOCIATES PC
Practice address
1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802
Phone
(816) 942-8333
Fax
(816) 942-6663
NPI assigned
Jul 27, 2006
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
William Patrick Donnelly, M.D.
Title
Owner/Physician
Phone
(816) 942-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802

Mailing address

1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802
Phone (816) 942-8333

Other identifiers 4

IdentifierTypeStateIssuer
4495112OtherAETNA PPO PROVIDER #
CS2526OtherRAILROAD MEDICARE GROUP #
06931011OtherBS/BC GROUP PROVIDER #
2709443OtherAETNA HMO PROVIDER #

National Provider Directory

National Provider Directory

Locations

1004 Carondelet Dr
Ste 400
Kansas City, MO 64114
Phone (816) 942-8333

Practitioners & affiliated clinicians

Practitioners 1

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063436673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-942-8333",
            "fax_number": "816-942-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-942-8333",
            "fax_number": "816-942-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET EYE CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "816-942-8333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER #",
            "identifier": "4495112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CS2526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BC GROUP PROVIDER #",
            "identifier": "06931011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "2709443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

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.