Westport Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2005017513 Issued in MO

Legal business name

WESTPORT EYECARE LLC

Practice address

4233 Roanoke Rd Ste 201
Kansas City, MO 64111-4816

Phone

(816) 753-2020

Fax

(816) 753-2697

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Christopher Miles, OD

Title

Doctor/Owner

Phone

(816) 753-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1285095125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 ROANOKE RD STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114816",
            "telephone_number": "816-753-2020",
            "fax_number": "816-753-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 ROANOKE RD STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114816",
            "telephone_number": "816-753-2020",
            "fax_number": "816-753-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "816-753-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005017513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Westhues, DC
• Kimberly J. Westhusing, B.A., J.D.
• Casey Dawn Weston, LMSW
• Westport Allen Village School (Allen Village School)
• Westport Anesthesia Services of Missouri, PC
• Westport Family Dental, LLC
• Westport Plaza Dental Associates
• Westport Plaza Medical Group, Inc
• Westport Serenity LLC
• Westport TMS LLC

• Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.