KC Family Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002014342 Issued in MO

Legal business name

KC FAMILY EYECARE PC

Practice address

6000 N Oak Tfwy
Ste 101
Gladstone, MO 64118-5176

Phone

(816) 454-1030

Fax

(816) 454-2625

NPI assigned

Jul 31, 2006

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Nutt, ODNPI 1780724138

Title

Owner

Phone

(816) 454-1030

Specialties & licenses 2

Addresses

Other names 1

• Glass and Anderson OD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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

Locations

Practitioners 4

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.

• Lisa M Nutt, O.D.

  • Optometrist
  • Gladstone, MO
  • NPI 1780724138
  Medicare reassignment Care Compare group NPD Authorized official
• Stuart P Anderson, O.D.

  • Optometrist
  • Gladstone, MO
  • NPI 1538209960
  Medicare reassignment Care Compare group NPD
• Kristin Leigh Ham, OD

  • Optometrist
  • Platte City, MO
  • NPI 1417915935
  Medicare reassignment Care Compare group NPD
• Jeffrey Donald Laferla, O.D.

  • Corneal and Contact Management Optometrist
  • Kansas City, MO
  • NPI 1093823924
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1225043656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N OAK TRFY",
            "address_2": "STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185176",
            "telephone_number": "816-454-1030",
            "fax_number": "816-454-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N OAK TFWY",
            "address_2": "STE 101",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185176",
            "telephone_number": "816-454-1030",
            "fax_number": "816-454-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-454-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02595",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002014342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glass and Anderson OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Jared P Karr, D.C.
• Kaitlin M. Kaufman, LCSW
• Bruce A Kauk, M.D.
• KC Dentistry 4 Kids LLC (KC Dentistry 4 Kids)
• Kerri Lynn Keberlein-Lynn, ARNP, FNP-C
• Kendallwood Senior Properties, LLC (Anew Senior Living)
• Tanairi Kennedy
• Kyle Coleman Kepler, DDS
• Haroon Khalid, M.D.

• Optometrist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.