Organization Active NPI

Somers Eye Center Inc

  • Ophthalmology Physician
  • North Kansas City, MO
National Provider Identifier
1316045867
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOMERS EYE CENTER INC
Practice address
2790 Clay Edwards Dr
Suite 1240
North Kansas City, MO 64116-3276
Phone
(816) 842-2015
Fax
(816) 221-3713
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mrs. Michelle J Merriman
Title
Office Manager
Phone
(816) 842-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 1240
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 1240
North Kansas City, MO 64116-3276
Phone (816) 842-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730003505 MO Part B Supplier - Clinic/Group Practice 9638594146 Receives reassigned benefits from 2 practitioners
Practice locations: North Kansas City, MO

National Provider Directory

National Provider Directory

Locations

2790 Clay Edwards Dr
Ste 1240
North Kansas City, MO 64116
Phone (816) 842-2015

Interoperability endpoints

  • Direct secure messaging: ablacklock@somerseye.intellechartdirect.net
  • Direct secure messaging: msomers@somerseye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1316045867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 1240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-842-2015",
            "fax_number": "816-221-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 1240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-842-2015",
            "fax_number": "816-221-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-842-2015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.