Individual provider Active NPI

Jennifer Luebbe, O.D.

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1184039711
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1988 Issued in KS
Practice address
15601 W 87TH Street Pkwy
Lenexa, KS 66219-1435
Phone
(913) 894-2020
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1988 KS Primary

Addresses

Primary practice location

15601 W 87TH Street Pkwy
Lenexa, KS 66219-1435

Mailing address

15601 W 87TH Street Pkwy
Lenexa, KS 66219-1435
Phone (913) 894-2020

Other names 1

  • Jennifer Pancoast Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140722001016 KS Practitioner - Optometry 6608092960 Reassigns benefits to 1 organization
I20140801001147 MO Practitioner - Optometry 6608092960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acuity Vision Center LLCGroup PAC ID 3971930728, 16 clinicians

Practice addresses (Care Compare)

15601 W 87TH St Pkwy
Lenexa, KS 66219-1435
Phone (913) 894-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1988KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath Odpc Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Acuity Vision Center LLC Optometrist CurrentSince Dec 23, 2021 Accepting new patients
Insight Vision Center LLC Optometrist Past Accepting new patients

Locations

15601 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 406-1809

11114 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 390-6700

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313

3660 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-7400

6756 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-4991

Interoperability endpoints

  • Direct secure messaging: jluebbe@customeyeskc2.eyefinity-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1184039711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-894-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-894-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBE",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PANCOAST",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.