Organization Active NPI

Rosedale Vision Center, L.L.C.

  • Optometrist
  • Kansas City, KS
National Provider Identifier
1417110677
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROSEDALE VISION CENTER, L.L.C.
Practice address
3424 Rainbow Ext
Kansas City, KS 66103-2081
Phone
(913) 432-3937
Fax
(913) 432-3862
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Gerard N. Lozada, O.D.
Title
Owner
Phone
(913) 432-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3424 Rainbow Ext
Kansas City, KS 66103-2081

Mailing address

3424 Rainbow Ext
Kansas City, KS 66103-2081
Phone (913) 432-3937

Other identifiers 1

IdentifierTypeStateIssuer
1902876048OtherKSNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

3424 Rainbow Ext
Kansas City, KS 66103
Phone (913) 432-3937

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1417110677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 RAINBOW EXT",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032081",
            "telephone_number": "913-432-3937",
            "fax_number": "913-432-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 RAINBOW EXT",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032081",
            "telephone_number": "913-432-3937",
            "fax_number": "913-432-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE VISION CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LOZADA",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-432-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1902876048",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.