Active NPI
Focus Eye Care LLC
- Optometrist
- Overland Park, KS
National Provider Identifier
1154923159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FOCUS EYE CARE LLC
- Practice address
- 6930 W 105TH St
Overland Park, KS 66212 - Phone
- (913) 544-1115
- NPI assigned
- Nov 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chang Soo Daniel Lee, OD
- Title
- Optometrist/Owner
- Phone
- (516) 808-1261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
6930 W 105TH St
Overland Park, KS 66212
Mailing address
6930 W 105TH St
Overland Park, KS 66212
Phone (913) 544-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210210002702 | KS | Part B Supplier - Clinic/Group Practice | 6406261130 |
Receives reassigned benefits from 1 practitioner Practice locations: Overland Park, KS |
National Provider Directory
National Provider DirectoryLocations
6930 W 105th St
Overland Park, KS 66212
Phone (913) 544-1115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1154923159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6930 W 105TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-544-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 W 105TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-544-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUS EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CHANG",
"authorized_official_middle_name": "SOO DANIEL",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "516-808-1261",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.