Smithville Eye Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1601 Issued in KS

Legal business name

SMITHVILLE EYE CENTER LLC

Doing business as

Wyandotte Eye Center

Practice address

21 N 12TH St
Kansas City, KS 66102-5161

Phone

(816) 873-0202

Fax

(816) 873-0203

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Thomas L Anderson, OD

Title

Owner/Memeber

Phone

(816) 873-0202

Specialties & licenses 1

Addresses

Other names 1

• Wyandotte Eye Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Lee Hiesterman, O.D.

  • Optometrist
  • Clay Center, KS
  • NPI 1750392742
  NPD

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1154672533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "address_2": "101",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "816-873-0202",
            "fax_number": "816-873-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "816-873-0202",
            "fax_number": "816-873-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHVILLE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMEBER",
        "authorized_official_telephone_number": "816-873-0202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyandotte Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Smith, RD
• Robyn Smith
• Teri Lee Smith, PH.D.
• Thomas Dale Smith, M.D.
• Timothy Ryan Smith, MD
• David M Smock, MD
• Ashley Bedelia Sneden, RDN
• Heather Snook
• Kyra Snowbarger
• Thomas E Snyder, M.D.

• Clinic/Center in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.