Active NPI
Carondelet Eye Care Associates PC
- Ophthalmology Physician
- Kansas City, MO
National Provider Identifier
1063436673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4495112 | Other | AETNA PPO PROVIDER # | |
| CS2526 | Other | RAILROAD MEDICARE GROUP # | |
| 06931011 | Other | BS/BC GROUP PROVIDER # | |
| 2709443 | Other | AETNA HMO PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1134597784
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
- Erica Rae Carney, MD
- Lisa Carney, MD
- Megan Elizabeth Carney, DO
- Carol Caring Hands Home Health LLC
- Carondelet Emergency Physicians Inc
- Carondelet Health
- Carondelet Long Term Care Facilities Inc (Carondelet Manor)
- Carondelet Physician Services, Inc (Carondelet Family Medical Care)
- Carondelet Primary Care Network Dba Carondelet Specialty Care Network
- Carondelet Primary Care Network, Inc (Carondelet Specialty Care Network)
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.