Organization Active NPI

Eyesmile Vision LLC

  • Optometrist
  • Hays, KS
National Provider Identifier
1073090742
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1657 Issued in KS
Legal business name
EYESMILE VISION LLC
Practice address
1300A Main St
Hays, KS 67601-3658
Phone
(785) 621-4242
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Dr. Stacey Jones, ODNPI 1356337901
Title
Optometrist
Phone
(785) 621-4242

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1657 KS Primary

Addresses

Primary practice location

1300A Main St
Hays, KS 67601-3658

Mailing address

1300A Main St
Hays, KS 67601-3658
Phone (785) 621-4242

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181206001559 KS Part B Supplier - Clinic/Group Practice 5294079968 Receives reassigned benefits from 1 practitioner
Practice locations: Hays, KS
O20190422002163 KS DME Supplier - Physician - Optometrist 5294079968 Practice locations: Hays, 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
Eyesmile Vision LLC1300 Main St, Hays, KS 67601-3658(785) 621-4242 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory

Locations

1300 Main St
Ste A
Hays, KS 67601
Phone (785) 621-4242

1300 Main St
#A
Hays, KS 67601
Phone (785) 621-4242

1300 Main St
Hays, KS 67601
Phone (785) 621-4242

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1073090742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300A MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013658",
            "telephone_number": "785-621-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300A MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013658",
            "telephone_number": "785-621-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESMILE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "785-621-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.