NPIMap

Organization Active NPI

Pingel Family Eyecare, LLC

Doing business as Mission EyeCare

  • Optometrist
  • Mission, KS
National Provider Identifier
1306113923
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
356801 Issued in KS
Legal business name
PINGEL FAMILY EYECARE, LLC
Doing business as
Mission EyeCare
Practice address
6120 Johnson Dr
Mission, KS 66202-3333
Phone
(913) 262-3937
Fax
(913) 262-3942
NPI assigned
Nov 28, 2011
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Jason Richard Pingel, O.D.NPI 1063449189
Title
Owner/Optometrist
Phone
(913) 262-3937

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
Optometrist 152W00000X 356801 KS Primary

Addresses

Primary practice location

6120 Johnson Dr
Mission, KS 66202-3333

Mailing address

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Other names 1

  • Mission EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120114000052 KS Part B Supplier - Clinic/Group Practice 4385811306 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, KS; Mission, KS

National Provider Directory

National Provider Directory

Locations

6120 Johnson Dr
Mission, KS 66202
Phone (913) 262-3937

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1306113923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINGEL FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "PINGEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "913-262-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "356801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.