Organization Active NPI

Sharper Vision, P.a.

  • Ophthalmology Physician
  • Lenexa, KS
National Provider Identifier
1104051655
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04 30820 Issued in KS
Legal business name
SHARPER VISION, P.A.
Practice address
23351 Prairie Star Pkwy
Suitea-275
Lenexa, KS 66227-6201
Phone
(913) 787-6724
Fax
(913) 273-1210
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Aaron Robert Florkowski, MDNPI 1326013251
Title
Owner
Phone
(913) 787-6724

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 04 30820 KS Primary

Addresses

Primary practice location

23351 Prairie Star Pkwy
Suitea-275
Lenexa, KS 66227-6201

Mailing address

11184 Antioch Rd
Suite 356
Overland Park, KS 66210-2420
Phone (913) 787-6724

Other identifiers 7

IdentifierTypeStateIssuer
106878OtherKSKANSAS
200366790BMedicaidKS
1326013251OtherINDIVIDUAL NPI
K38D179MedicaidKS
DR8297OtherKSRR MEDICARE
200366790AMedicaidKS
1104051655OtherKSGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091211000296 KS Part B Supplier - Clinic/Group Practice 7012057698 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Fort Scott, KS; Overland Park, KS; Shawnee, KS; Shawnee Mission, KS
O20100527000662 MO Part B Supplier - Clinic/Group Practice 7012057698 Receives reassigned benefits from 1 practitioner
Practice locations: Grandview, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Deer Creek Surgery Center LLC3 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.

Locations

21620 Midland Dr
Shawnee, KS 66218
Phone (414) 202-4452

12220 Blue Ridge Ext
Ste J
Grandview, MO 64030
Phone (816) 761-6337

Practitioners & affiliated clinicians

Practitioners 2

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": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1104051655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11184 ANTIOCH RD",
            "address_2": "SUITE 356",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102420",
            "telephone_number": "913-787-6724",
            "fax_number": "913-273-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY",
            "address_2": "SUITEA-275",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662276201",
            "telephone_number": "913-787-6724",
            "fax_number": "913-273-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPER VISION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "FLORKOWSKI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-787-6724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04 30820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS",
            "identifier": "106878",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366790B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326013251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K38D179",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR8297",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366790A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1104051655",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.