Ku Eye Surgery & Laser Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

4652236 Issued in KS

Legal business name

KU EYE SURGERY & LASER CENTER, LLC

Practice address

7400 State Line Rd
Suite 212
Prairie Village, KS 66208-3444

Phone

(913) 588-2020

Fax

(913) 574-1087

NPI assigned

Jan 24, 2013

Organization subpart

Yes

Parent organization

KANSAS UNIVERSITY OPHTHALMIC FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. John E Sutphin, MDNPI 1891796462

Title

President

Phone

(913) 588-6606

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E Sutphin Jr., MD

  • Ophthalmology Physician
  • Prairie Village, KS
  • NPI 1891796462
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1083952113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 STATE LINE RD",
            "address_2": "SUITE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083444",
            "telephone_number": "913-588-6626",
            "fax_number": "913-588-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 STATE LINE RD",
            "address_2": "SUITE 212",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083444",
            "telephone_number": "913-588-2020",
            "fax_number": "913-574-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KU EYE SURGERY & LASER CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANSAS UNIVERSITY OPHTHALMIC FOUNDATION",
        "enumeration_date": "2013-01-24",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "SUTPHIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-588-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KS",
            "license": "4652236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201099022A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA3250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Joy Krachmalnick, MD
• Melanie Elizabeth Kramer, APRN, CPNP
• Michael Diederich Kramer, MS, NCC, LPC
• Kevin Joseph Krause, DDS
• Joshua Tyler Krueger, PHARM.D.
• Mallory Kuhlmann Kuchem, O.D., M.S.
• Kathryn Kudlacz
• Eric Michael Kulick, M.D.
• Frances Eleanor Lafferty, MD
• Marissa Allison Lahey, APRN-BC

• Ophthalmologic Surgery Clinic/Center in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Ophthalmologic Surgery Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.