Organization Active NPI

Vision Professionals of Leawood, LLC

  • Optometrist
  • Leawood, KS
National Provider Identifier
1316203284
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1820 Issued in KS
Legal business name
VISION PROFESSIONALS OF LEAWOOD, LLC
Practice address
5020 W. 135TH Street
Leawood, KS 66209
Phone
(913) 239-9446
NPI assigned
Apr 5, 2012
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Tyler R Ohde, O.DNPI 1104072107
Title
Optometrist
Phone
(913) 526-1441

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 SINGLE SPECIALTY GROUP 152W00000X 1820 KS Primary

Addresses

Primary practice location

5020 W. 135TH Street
Leawood, KS 66209

Mailing address

5020 W. 135TH Street
Leawood, KS 66209
Phone (913) 239-9446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121126000556 KS Part B Supplier - Clinic/Group Practice 0345491254 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

5020 W 135th St
Overland Park, KS 66224
Phone (913) 239-9446

Practitioners & affiliated clinicians

Practitioners 1

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": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1316203284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W. 135TH STREET",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-239-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 W. 135TH STREET",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-239-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PROFESSIONALS OF LEAWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "OHDE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "913-526-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

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