NPIMap

Organization Active NPI

Littlefield Eye Associates, LLC

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1386715977
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO 3345 Issued in MO
Legal business name
LITTLEFIELD EYE ASSOCIATES, LLC
Practice address
220 W 75TH Street
Kansas City, MO 64114
Phone
(816) 523-8421
Fax
(816) 523-0909
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Dr. Jeffery R. Grimes, O.D.
Title
Optometrist
Phone
(816) 523-8421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TO 3345 MO Primary

Addresses

Primary practice location

220 W 75TH Street
Kansas City, MO 64114

Mailing address

220 W 75TH St
Kansas City, MO 64114-1540
Phone (913) 948-0152

Other identifiers 1

IdentifierTypeStateIssuer
=========OtherMOTAX ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051014000739 MO Part B Supplier - Clinic/Group Practice 0648173427 Receives reassigned benefits from 3 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

7400 Wornall Rd
Kansas City, MO 64114
Phone (816) 523-8421

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1386715977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141540",
            "telephone_number": "913-948-0152",
            "fax_number": "816-523-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 75TH STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-523-8421",
            "fax_number": "816-523-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLEFIELD EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-01-11",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "816-523-8421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO 3345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "=========",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.