Blue Valley Vision of Overland Park LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1928 Issued in KS

Legal business name

BLUE VALLEY VISION OF OVERLAND PARK LLC

Practice address

8007 W 151St St
Overland Park, KS 66223-2115

Phone

(785) 554-8582

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Evan A Strong, O.D.NPI 1225390743

Title

Partner

Phone

(785) 554-8582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 4

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

• Evan A. Strong, O.D.

  • Optometrist
  • Kansas City, MO
  • NPI 1225390743

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Jayme R Fose, OD

  • Optometrist
  • Overland Park, KS
  • NPI 1649463621
  Medicare reassignment Care Compare group NPD
• Samantha Snodgrass, O.D.

  • Optometrist
  • Overland Park, KS
  • NPI 1366333460
  Medicare reassignment Care Compare group NPD
• Lauren Sowash, O.D.

  • Optometrist
  • Lakewood, CO
  • NPI 1275985616

  KS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1356730766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232115",
            "telephone_number": "785-554-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232115",
            "telephone_number": "785-554-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY VISION OF OVERLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "785-554-8582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.