Organization Active NPI

Jackson County Eye Clinic Inc.

Doing business as Eyecare Associates of Lee's Summit

  • Optometrist
  • Lee's Summit, MO
National Provider Identifier
1144267287
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JACKSON COUNTY EYE CLINIC INC.
Doing business as
Eyecare Associates of Lee's Summit
Eyecare Associates of Lees Summit
Practice address
221 NW McNary CT
Lees Summit, MO 64086-4011
Phone
(816) 524-8900
Fax
(816) 525-2042
NPI assigned
May 31, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Christina D Heafner
Title
Admin/Credentialing Specialist
Phone
(816) 524-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02710 MO
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

221 NW McNary CT
Lees Summit, MO 64086-4011

Mailing address

221 NW McNary CT
Lees Summit, MO 64086-4011
Phone (816) 524-8900

Other identifiers 3

IdentifierTypeStateIssuer
13228014OtherMOBCBS GROUP NUMBER
CI2551OtherMOMEDICARE RR
0700420002OtherMONORIDIAN

Other names 2

  • Eyecare Associates of Lee's Summit Doing business as
  • Eyecare Associates of Lees Summit Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050819000429 MO Part B Supplier - Clinic/Group Practice 8729018668 Receives reassigned benefits from 9 practitioners
Practice locations: Lees Summit, MO
O20100930065178 MO DME Supplier - Physician - OptometristDME Supplier - Optician 8729018668 Practice locations: Lees Summit, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyecare Associates of Lee's Summit221 NW McNary CT, Lees Summit, MO 64086-4011(816) 524-8900 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

221 NW McNary Ct
Lees Summit, MO 64086
Phone (816) 524-8900

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1144267287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY EYE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "HEAFNER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMIN/CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "816-524-8900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02710",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "13228014",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CI2551",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "0700420002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Associates of Lee's Summit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyecare Associates of Lees Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.