Organization Active NPI

Medical-Surgical Eye Care, P.a.

  • Optometrist
  • Kansas City, KS
National Provider Identifier
1215013206
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1411 Issued in KS
Legal business name
MEDICAL-SURGICAL EYE CARE, P.A.
Practice address
8919 Parallel Parkway
Ste 216
Kansas City, KS 66112
Phone
(913) 299-8800
Fax
(913) 299-6581
NPI assigned
Oct 31, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Karl Dwight Hendricks, M.D.NPI 1174525208
Title
President
Phone
(913) 299-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1411 KS Primary

Addresses

Primary practice location

8919 Parallel Parkway
Ste 216
Kansas City, KS 66112

Mailing address

8919 Parallel Parkway
Ste 216
Kansas City, KS 66112
Phone (913) 299-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100420000974 KS Part B Supplier - Clinic/Group Practice 5193852325 Receives reassigned benefits from 3 practitioners
Practice locations: Kansas City, KS
O20100930025506 KS DME Supplier - Physician - OptometristDME Supplier - Optician 5193852325 Practice locations: Kansas City, KS

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
Medical Surgical Eye Care, PA8919 Parallel Pkwy, Kansas City, KS 66112-1655(913) 299-8800 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1987

National Provider Directory

National Provider Directory

Locations

8919 Parallel Pkwy
Ste 216
Kansas City, KS 66112
Phone (913) 299-8800

8919 Parallel Pkwy
Ste 226
Kansas City, KS 66112
Phone (913) 299-8800

Practitioners & affiliated clinicians

Practitioners 3

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1215013206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PARKWAY",
            "address_2": "STE 216",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66112",
            "telephone_number": "913-299-8800",
            "fax_number": "913-299-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PARKWAY",
            "address_2": "STE 216",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66112",
            "telephone_number": "913-299-8800",
            "fax_number": "913-299-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL-SURGICAL EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-299-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.