Active NPI
Cynthia A Simone, O.D.
- Optometrist
- Shawnee Mission, KS
National Provider Identifier
1396777090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12493
- Practice address
- 8901 W 74TH St
Suite 285
Shawnee Mission, KS 66204-2204 - Phone
- (913) 362-3210
- Fax
- (913) 362-0407
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12493 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH St
Suite 285
Shawnee Mission, KS 66204-2204
Mailing address
8901 West 74 Street
Ste 285
Shawnee Mission, KS 66204
Phone (913) 362-3210
Other names 1
- Dr. Cynthia A Tonkovich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12493 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396777090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WEST 74 STREET",
"address_2": "STE 285",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-362-3210",
"fax_number": "913-362-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST",
"address_2": "SUITE 285",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042204",
"telephone_number": "913-362-3210",
"fax_number": "913-362-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "CYNTHIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "12493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "TONKOVICH",
"middle_name": "A",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.