Organization Active NPI

My Eye Care LLC

  • Optometrist
  • Olathe, KS
National Provider Identifier
1295278604
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MY EYE CARE LLC
Practice address
15206 W 119TH St
Olathe, KS 66062-5604
Phone
(913) 942-0155
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Tu A BuiNPI 1164864419
Title
Partner
Phone
(913) 942-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

15206 W 119TH St
Olathe, KS 66062-5604

Mailing address

15206 W 119TH St
Olathe, KS 66062-5604
Phone (913) 942-0155

Other practice location 1

1041 NE Sam Walton Ln
Lees Summit, MO 64086-8426
Phone (816) 944-1719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170807000394 KS Part B Supplier - Clinic/Group Practice 6608147863 Receives reassigned benefits from 2 practitioners
Practice locations: Olathe, KS
O20240517002110 MO Part B Supplier - Clinic/Group Practice 6608147863 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

15206 W 119th St
Olathe, KS 66062
Phone (913) 829-9700

15206 W 119th St
Ste B
Olathe, KS 66062
Phone (913) 942-0155

1041 NE Sam Walton Ln
Lees Summit, MO 64086
Phone (816) 944-1672

1041 NE Sam Walton Ln
Ste E
Lees Summit, MO 64086
Phone (816) 942-5153

Practitioners & affiliated clinicians

Practitioners 3

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": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1295278604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-942-0155",
            "fax_number": "913-942-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15206 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625604",
            "telephone_number": "913-942-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 NE Sam Walton Ln",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640868426",
            "country_code": "US",
            "telephone_number": "816-944-1719",
            "fax_number": "913-942-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "913-942-0155"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.