Individual provider Active NPI

Geoffrey Ryan Haidon Powell, O.D.

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1114906625
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002015841 Issued in MO
Practice address
10217 N Oak Trfy
Kansas City, MO 64155-1715
Phone
(816) 476-4017
Fax
(816) 476-4017
NPI assigned
Jan 12, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002015841 MO Primary

Addresses

Primary practice location

10217 N Oak Trfy
Kansas City, MO 64155-1715

Mailing address

19045 East Valley View Parkway
Suite a
Independence, MO 64055-9942
Phone (816) 795-7777

Other identifiers 2

IdentifierTypeStateIssuer
318751104MedicaidMO
318751112MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000064 MO Practitioner - Optometry 6507816097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare Specialties IncGroup PAC ID 1153371646, 15 clinicians

Practice addresses (Care Compare)

19045 E Valley View Pkwy
Independence, MO 64055-7030

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as group
Quality
73.89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eyecare Specialties Inc. Optometrist CurrentSince Nov 16, 2004 Accepting new patients
Insight Eyecare Specialties Inc Optometrist CurrentSince Feb 2, 2004 Accepting new patients
Insight Eyecare Specialties Inc Optometrist Past Accepting new patients
Gerhard W Cibis MD PC Optometrist Past Accepting new patients

Locations

19045 E Valley View Pkwy
Independence, MO 64055
Phone (800) 566-2079

19045 E Valley View Pkwy
Ste A
Independence, MO 64055
Phone (816) 795-7777

10217 N Oak Trfy
Kansas City, MO 64155
Phone (816) 476-4017

4400 Broadway Blvd
Ste 202
Kansas City, MO 64111
Phone (816) 531-9100

9596 N McGee St
Kansas City, MO 64155
Phone (816) 476-4017

2320 S Main St
Maryville, MO 64468
Phone (660) 582-4022

2401 Kentucky Ave
Ste A
Platte City, MO 64079
Phone (816) 431-2202

1309 Village Dr
Saint Joseph, MO 64506
Phone (816) 233-5255

Organizations & group practices 4

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1114906625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 EAST VALLEY VIEW PARKWAY",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640559942",
            "telephone_number": "816-795-7777",
            "fax_number": "816-795-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551715",
            "telephone_number": "816-476-4017",
            "fax_number": "816-476-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "GEOFFREY",
        "middle_name": "RYAN HAIDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002015841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318751104",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318751112",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.