James Grant Gamble, OD
Individual provider Active NPI Optometrist · Bonner Springs, KS
NPI 1386531044 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1386531044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2025019885 (MO)
- Practice address
- 116 East Cedar Street
Bonner Springs, KS 66012 - Phone
- (913) 422-7781
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Smithville Eye Center LLC
Practice addresses (Care Compare)
1000 S US Hwy 169
Smithville, MO 64089-9321
Phone (816) 873-0202
116 Cedar Ave
Bonner Springs, KS 66012-1016
Phone (913) 422-7781
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- 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 |
|---|---|---|---|---|
| I20250813002174 | KS | Practitioner - Optometry | 6305344896 | Reassigns benefits to 1 organization |
| I20250813002432 | MO | Practitioner - Optometry | 6305344896 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025019885 | MO | MD | Optometrist |
| 2246 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smithville Eye Center LLC | Optometrist | Current |
Accepting new patients |
| Lawrence Family Vision Clinic P a | Optometrist | Past |
Accepting new patients |
Locations
404 Ames St
Baldwin City, KS 66006
Phone (785) 594-2200
116 Cedar Ave
Bonner Springs, KS 66012
Phone (913) 422-7781
629 W Crawford St
Clay Center, KS 67432
Phone (785) 632-6100
8305 Melrose Dr
Overland Park, KS 66214
1905 Swift Ave
North Kansas City, MO 64116
Phone (816) 221-5939
1000 S US Highway 169
Smithville, MO 64089
Phone (816) 873-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2025019885 | MO | Yes |
Addresses
Primary practice location
116 East Cedar Street
Bonner Springs, KS 66012
Mailing address
11970 S Pflumm Rd Apt 8103
Olathe, KS 66062-9661
Phone (913) 378-8874
Other providers in Bonner Springs, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. 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.