Organization Active NPI

Mid America Eye Center PA

  • Ophthalmology Physician
  • Prairie Village, KS
National Provider Identifier
1215967229
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MID AMERICA EYE CENTER PA
Practice address
3830 W 75TH St
Prairie Village, KS 66208-4128
Phone
(913) 384-1441
NPI assigned
Jul 4, 2006
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Sue Kalwei, C.O.A.
Title
Administrator
Phone
(913) 384-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3830 W 75TH St
Prairie Village, KS 66208-4128

Mailing address

PO Box 877448
Kansas City, MO 64187-7448
Phone (913) 384-1441

Other identifiers 1

IdentifierTypeStateIssuer
22857015OtherMOKANSAS CITY BC/BS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070314000091 KS Part B Supplier - Clinic/Group Practice 6608882006 Receives reassigned benefits from 4 practitioners
Practice locations: Lawrence, KS; Topeka, KS; Prairie Village, KS
O20100930092283 KS DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 6608882006 Practice locations: Prairie Village, 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
Mid America Eye Center3830 W 75TH St, Prairie Village, KS 66208-4128(913) 384-1441 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 1989

National Provider Directory

National Provider Directory

Locations

204 W Chestnut St
Butler, MO 64730
Phone (660) 679-3261

111 N Main St
Nevada, MO 64772
Phone (417) 667-3076

Practitioners & affiliated clinicians

Practitioners 10

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1215967229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877448",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641877448",
            "telephone_number": "913-384-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084128",
            "telephone_number": "913-384-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KALWEI",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-384-1441",
        "authorized_official_credential": "C.O.A."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BC/BS",
            "identifier": "22857015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.