The Eye Gallery, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1889 Issued in KS

Legal business name

THE EYE GALLERY, LLC

Practice address

3084 N. Maize Rd
Wichita, KS 67205

Phone

(316) 315-0321

NPI assigned

Jul 10, 2014

Last updated

Jul 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Megan BaldwinNPI 1063790145

Title

OD/Ceo

Phone

(316) 315-0321

Specialties & licenses 1

Addresses

Tax ID family

Eye Gallery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Gallery, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1598041899
  NPD tax ID
• The Eye Gallery, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1730436460
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Nichole Baldwin, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1063790145
  NPD (past) Authorized official

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1093121097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N. MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-315-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE GALLERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OD/CEO",
        "authorized_official_telephone_number": "316-315-0321",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Eye Gallery, LLC
• The Eye Gallery, LLC
• The Farm at Hunter Health Clinic
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• The Gresham LLC

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.