NPIMap

Organization Active NPI

Midwest Division - LRHC LLC

Doing business as LRHC Eye Center

  • Ophthalmologic Surgery Clinic/Center
  • Lexington, MO
National Provider Identifier
1427236181
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
MIDWEST DIVISION - LRHC LLC
Doing business as
LRHC Eye Center
Practice address
1030 Main St
Lexington, MO 64067-1345
Phone
(660) 259-2203
Fax
(660) 259-6819
NPI assigned
Feb 5, 2008
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mr. Bret Kolman
Title
Ceo
Phone
(660) 259-6802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

1030 Main St
Lexington, MO 64067-1345

Mailing address

1500 State St
Lexington, MO 64067-1107
Phone (660) 259-2203

Other identifiers 3

IdentifierTypeStateIssuer
90036022MedicaidKS
540568508MedicaidMO
010568509MedicaidMO

Other names 1

  • LRHC Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Division - LRHC LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1427236181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 STATE ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671107",
            "telephone_number": "660-259-2203",
            "fax_number": "660-259-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671345",
            "telephone_number": "660-259-2203",
            "fax_number": "660-259-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIVISION - LRHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "KOLMAN",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-259-6802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90036022",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540568508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010568509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LRHC Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LRHC Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.