Organization Active NPI

Your Vision

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1104264787
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1704 Issued in KS
Legal business name
YOUR VISION
Practice address
8641 W 135TH St
Overland Park, KS 66223-1215
Phone
(913) 221-0988
Fax
(913) 601-6469
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Neel K Gupta, O.D.
Title
President
Phone
(913) 221-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X KS1704 KS Primary

Addresses

Primary practice location

8641 W 135TH St
Overland Park, KS 66223-1215

Mailing address

8641 W 135TH St
Overland Park, KS 66223-1215
Phone (913) 221-0988

Other identifiers 1

IdentifierTypeStateIssuer
200607690-AMedicaidKS

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

8641 W 135th St
Overland Park, KS 66223
Phone (913) 221-0988

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1104264787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215",
            "telephone_number": "913-221-0988",
            "fax_number": "913-601-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215",
            "telephone_number": "913-221-0988",
            "fax_number": "913-601-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-221-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200607690-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.