Individual provider Active NPI

Gerald A. McLaughlin, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1386709277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1437-3 Issued in KS
Practice address
11205 W 95TH St
Overland Park, KS 66214-1825
Phone
(913) 492-7728
Fax
(913) 492-5217
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1437-3 KS Primary
Optometrist 152W00000X TO2946 MO

Addresses

Primary practice location

11205 W 95TH St
Overland Park, KS 66214-1825

Mailing address

11205 W 95TH St
Overland Park, KS 66214-1825
Phone (913) 492-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000065 KS Practitioner - Optometry 4981769627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Oak Park Inc.Group PAC ID 8921990433, 4 clinicians

Practice addresses (Care Compare)

11121 W 95TH St
Overland Park, KS 66214-1824
Phone (913) 492-7728

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1437-3KSMDOptometrist
TO2946MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare South LLC CurrentSince Jul 1, 2020 Accepting new patients
Professional Eyecare Oak Park Inc. Optometrist CurrentSince Feb 1, 2000 Accepting new patients
Professional Eyecare - Bannister Optometrist Past Accepting new patients
Professional Eyecare Zona Rosa Inc. Optometrist Past Accepting new patients
Professional Eyecare Metro North Inc Optometrist Past Accepting new patients

Locations

11121 W 95th St
Overland Park, KS 66214
Phone (913) 492-7713

6575 W 119th St
Overland Park, KS 66209
Phone (913) 696-0092

11205 W 95th St
Overland Park, KS 66214
Phone (913) 492-7728

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386709277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141825",
            "telephone_number": "913-492-7728",
            "fax_number": "913-492-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141825",
            "telephone_number": "913-492-7728",
            "fax_number": "913-492-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "GERALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1437-3",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.