Breck Avery Dakin, OD
Individual provider Active NPI Optometrist · Mission, KS
NPI 1316611585 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1316611585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2145 (KS)
- Practice address
- 5820 Lamar Ave
Mission, KS 66202-2612 - Phone
- (913) 432-7676
- NPI assigned
- Aug 2, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acuity Vision Center LLC
Practice addresses (Care Compare)
5820 Lamar Ave
Mission, KS 66202-2612
Phone (913) 432-7676
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921000438 | KS | Practitioner - Optometry | 4284031121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2145 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuity Vision Center LLC | Optometrist | Current |
Accepting new patients |
| Brill Eye Center LLC | Optometrist | Past |
Accepting new patients |
| Insight Vision Center LLC | Optometrist | Past | Accepting new patients |
Locations
5820 Lamar Ave
Mission, KS 66202
Phone (913) 432-7676
5820 Lamar Ave
Ste 100
Mission, KS 66202
Phone (913) 432-7676
11114 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 390-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2145 | KS | Yes |
Addresses
Primary practice location
5820 Lamar Ave
Mission, KS 66202-2612
Mailing address
9619 W 57TH PL
Merriam, KS 66203-2420
Phone (620) 794-3506
NPI Registry JSON
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1316611585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9619 W 57TH PL",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662032420",
"telephone_number": "620-794-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 LAMAR AVE",
"city": "MISSION",
"state": "KS",
"postal_code": "662022612",
"telephone_number": "913-432-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKIN",
"first_name": "BRECK",
"middle_name": "AVERY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "2145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.