Summit Eye Health

Primary specialty

OptometristTaxonomy code 152W00000X

License

2007019154 Issued in MO

Legal business name

SUMMIT EYE HEALTH

Practice address

247 SE Main St
Lees Summit, MO 64063-2331

Phone

(816) 769-6565

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Katie J Weeden, OD

Title

Optometrist

Phone

(816) 769-6565

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1366828444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 R ST",
            "city": "LAKE LOTAWANA",
            "state": "MO",
            "postal_code": "640869429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SE MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632331",
            "telephone_number": "816-769-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WEEDEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "816-769-6565",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007019154",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008018442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Sudtelgte, LCSW
• Raquel Sugino, DPM, MS
• Lauren Elizabeth Sullivan, LPC, CRC, MT-BC
• Summit Care Services
• Summit Eye Center, LLC
• Summit Family Care, LLC
• Summit Family Chiropractic
• Summit Gastroenterology LLC
• Summit Geriatrics LLC
• Summit Hand Rehabilitation, LLC

• Optometrist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.