Active NPI
Rosedale Vision Center, L.L.C.
- Optometrist
- Kansas City, KS
National Provider Identifier
1417110677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902876048 | Other | KS | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
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.