Active NPI
Stephen Scott Lile, O.D.
- Optometrist
- Leawood, KS
National Provider Identifier
1114053055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1380
- Practice address
- 11500 Granada St
Leawood, KS 66211-1453 - Phone
- (816) 478-1230
- NPI assigned
- Feb 26, 2007
- Last updated
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1380 | KS | Primary |
Addresses
Primary practice location
11500 Granada St
Leawood, KS 66211-1453
Mailing address
4801 S Cliff Ave
Suite 100
Independence, MO 64055-7015
Phone (816) 478-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902
4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536
Interoperability endpoints
- slile@direct.dvc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1114053055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S CLIFF AVE",
"address_2": "SUITE 100",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557015",
"telephone_number": "816-478-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 GRANADA ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111453",
"telephone_number": "816-478-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILE",
"first_name": "STEPHEN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.