Active NPI
Nicole Dyan Verachtert, O.D.
- Optometrist
- Parkville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03469
- Practice address
- 6325 Lewis Dr
Suite 114
Parkville, MO 64152-3699 - Phone
- (816) 505-0100
- Fax
- (816) 505-2301
- NPI assigned
- May 26, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03469 | MO | Primary |
Addresses
Primary practice location
6325 Lewis Dr
Suite 114
Parkville, MO 64152-3699
Mailing address
6420 NW Forest CT
Parkville, MO 64152-3139
Phone (816) 880-0242
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5769 NE Antioch Rd
In Vision Eye Care Center Gladstone
Gladstone, MO 64119-2017
Phone (816) 454-3937
6325 Lewis Dr
Suite 114
Parkville, MO 64152-4505
Phone (816) 505-0100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nass, Inc | Optometrist | Current | Accepting new patients |
Locations
6325 Lewis Dr
Ste 114
Parkville, MO 64152
Phone (816) 505-0100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba In Vision Eye Care Center Gladstone
- Optometrist
- Gladstone, MO
- NPI 1306316914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073560108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 NW FOREST CT",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523139",
"telephone_number": "816-880-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 LEWIS DR",
"address_2": "SUITE 114",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523699",
"telephone_number": "816-505-0100",
"fax_number": "816-505-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERACHTERT",
"first_name": "NICOLE",
"middle_name": "DYAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.