Summit Eye Center, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2004035463 Issued in MO

Legal business name

SUMMIT EYE CENTER, LLC

Practice address

1621 NW Blue Parkway
Lees Summit, MO 64086

Phone

(816) 246-2111

Fax

(816) 246-2181

NPI assigned

Jul 20, 2015

Last updated

Sep 20, 2018By 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

Anita Anne Davis

Title

Administrator

Phone

(816) 246-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

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.

• Joshua Clyde Cantrell, OD

  • Optometrist
  • Lee's Summit, MO
  • NPI 1326087594
  Medicare reassignment Care Compare group NPD
• Michelle Ann Kindler, O.D.

  • Optometrist
  • Sedalia, MO
  • NPI 1912902644
  Medicare reassignment Care Compare group NPD
• Kelsey J Kleinsasser, OD

  • Optometrist
  • Kansas City, MO
  • NPI 1740278944
  Medicare reassignment Care Compare group NPD
• Kevin Robert Skelsey, M.D.

  • Ophthalmology Physician
  • Lee's Summit, MO
  • NPI 1982696134
  Medicare reassignment Care Compare group NPD
• James Robert Overlease III, M.D.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1154362077
  Care Compare group
• William L White, M.D.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1497778641
  Care Compare group

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1255716221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NW BLUE PARKWAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-246-2111",
            "fax_number": "816-246-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NW BLUE PARKWAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-246-2111",
            "fax_number": "816-246-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-246-2111"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2004035463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Sudduth, M.D.
• Tracy Sudtelgte, LCSW
• Raquel Sugino, DPM, MS
• Lauren Elizabeth Sullivan, LPC, CRC, MT-BC
• Summit Care Services
• Summit Eye Health
• Summit Family Care, LLC
• Summit Family Chiropractic
• Summit Gastroenterology LLC
• Summit Geriatrics LLC

• Ophthalmology Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.