NPIMap

Organization Active NPI

Professional Eyecare - Bannister

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1245382829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2880 Issued in MO
Legal business name
PROFESSIONAL EYECARE - BANNISTER
Practice address
5600 E Bannister Rd RM 188
Kansas City, MO 64192-1000
Phone
(816) 765-3310
Fax
(816) 765-3181
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denise Lorraine Royer
Title
Managed Care Manager
Phone
(913) 696-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TO2880 MO Primary

Addresses

Primary practice location

5600 E Bannister Rd RM 188
Kansas City, MO 64192-1000

Mailing address

5600 E Bannister Rd RM 188
Kansas City, MO 64192-1000
Phone (816) 765-3310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245382829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 E BANNISTER RD RM 188",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641921000",
            "telephone_number": "816-765-3310",
            "fax_number": "816-765-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 E BANNISTER RD RM 188",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641921000",
            "telephone_number": "816-765-3310",
            "fax_number": "816-765-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE - BANNISTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "MANAGED CARE MANAGER",
        "authorized_official_telephone_number": "913-696-0092"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.