Wyandotte Family Eyecare Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WYANDOTTE FAMILY EYECARE CENTER, LLC

Practice address

21 N 12TH St
Kansas City, KS 66102-5161

Phone

(913) 342-4405

Fax

(913) 342-4406

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Miss Kelly Skaggs

Title

Office Manager

Phone

(913) 342-4405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Reddell, O.D.

  • Optometrist
  • Leavenworth, KS
  • NPI 1982982013
  Medicare reassignment Care Compare group NPD
• Ashley Schuelke Reddell, O.D.

  • Optometrist
  • Leavenworth, KS
  • NPI 1649408600
  Medicare reassignment Care Compare group
• Natalie Grace Nibert, OD

  • Optometrist
  • Minnetonka, MN
  • NPI 1386313088

  KS

  Medicare reassignment Care Compare group
• Kyle W Kelly, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1144221672
  Medicare reassignment NPD
• Alisha O'Shea, O.D

  • Optometrist
  • Leavenworth, KS
  • NPI 1578454666
  Medicare reassignment NPD
• Joshua Allan Russell, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1801637244
  Medicare reassignment NPD
• Laura E Toren, O.D.

  • Corneal and Contact Management Optometrist
  • Shawnee, KS
  • NPI 1922314137
  Medicare reassignment NPD
• Aaron R Wilmes, O.D.

  • Optometrist
  • Lawrence, KS
  • NPI 1548236987
  Medicare reassignment NPD
• Katherine Gunn, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1790354066
  Medicare reassignment
• Matthew A. Siemer, O.D.

  • Optometrist
  • Kansas City, KS
  • NPI 1215168141
  Medicare reassignment
• Mark S Norris, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1104827948
  NPD

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1306181367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "913-342-4405",
            "fax_number": "913-342-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "913-342-4405",
            "fax_number": "913-342-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE FAMILY EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-342-4405",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyandot Center, Inc.
• Wyandotte Central Dialysis LLC
• Wyandotte Comprehensive Special Education Coop Infant Toddler Division
• Wyandotte County Dialysis LLC
• Wyandotte Family Chiropractic Center Inc
• Wyandotte Pediatrics
• Cole Wymore, MD
• Helen Wynn
• Hadley Wyre, MD
• Chunmei Xie

• Optometrist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.