NPIMap

Organization Active NPI

Omni Eye Centers of Kansas City PA

  • Optometrist
  • Lee's Summit, MO
National Provider Identifier
1083750384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3486 Issued in MO
Legal business name
OMNI EYE CENTERS OF KANSAS CITY PA
Practice address
301 NE Mulberry St.
Suite 101
Lee's Summit, MO 64086-4533
Phone
(816) 525-3937
NPI assigned
Jan 30, 2007
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
Dr. John B Gelvin, O.D.NPI 1396716700
Title
President
Phone
(816) 525-3937

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X TO3486 MO Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1478-3 KS

Addresses

Primary practice location

301 NE Mulberry St.
Suite 101
Lee's Summit, MO 64086-4533

Mailing address

301 NE Mulberry St.
Suite 101
Lee's Summit, MO 64086-4533
Phone (816) 525-3937

Other names 1

  • Omni Eye Centers of Kansas City PC Other name

National Provider Directory

National Provider Directory

Locations

301 NE Mulberry St
Ste 101
Lees Summit, MO 64086
Phone (816) 525-3937

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083750384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST.",
            "address_2": "SUITE 101",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-525-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST.",
            "address_2": "SUITE 101",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-525-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI EYE CENTERS OF KANSAS CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELVIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-525-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3486",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1478-3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Eye Centers of Kansas City PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lee's Summit, 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.