Organization Active NPI

Insight Vision Center

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1417239229
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1794 Issued in KS
Legal business name
INSIGHT VISION CENTER
Practice address
10123 Cherry LN
Lenexa, KS 66220-9763
Phone
(913) 254-7456
Fax
(913) 254-9613
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Justin Weigel, ODNPI 1225220346
Title
Owner
Phone
(913) 254-7456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1794 KS Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1792 KS
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 1794 KS
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 1792 KS

Addresses

Primary practice location

10123 Cherry LN
Lenexa, KS 66220-9763

Mailing address

10123 Cherry LN
Lenexa, KS 66220-9763
Phone (913) 254-7456

Other identifiers 1

IdentifierTypeStateIssuer
200544140MedicaidKS

Other names 1

  • 2020 Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

10123 Cherry Ln
Lenexa, KS 66220
Phone (913) 254-7456

Practitioners & affiliated clinicians

Practitioners 1

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": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1417239229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 CHERRY LN",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662209763",
            "telephone_number": "913-254-7456",
            "fax_number": "913-254-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 CHERRY LN",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662209763",
            "telephone_number": "913-254-7456",
            "fax_number": "913-254-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "WEIGEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-254-7456",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1794",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1792",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1794",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200544140",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.