Vincent A Pennipede, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1227 Issued in KS

Practice address

10120 W 119TH St
Overland Park, KS 66213

Phone

(913) 339-9090

Fax

(913) 339-6417

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of North Overland ParkGroup PAC ID 5698152429, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Associates of North Overland Park

  • Optometrist
  • Overland Park, KS
  • NPI 1932856994
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Associates of Leawood PA

  • Optometrist
  • Leawood, KS
  • NPI 1043331622
  Medicare reassignment NPD Authorized official
• Eye Associates of Olathe PA

  • Optometrist
  • Olathe, KS
  • NPI 1245392059
  Medicare reassignment NPD Authorized official
• Eye Associates of Overland Park PA

  • Optometrist
  • Overland Park, KS
  • NPI 1316009129
  Medicare reassignment NPD Authorized official
• Eye Associates of Prairie Village,PA

  • Optometrist
  • Prairie Village, KS
  • NPI 1932466513
  Medicare reassignment NPD Authorized official
• Eye Associates of Shawnee PA

  • Optometrist
  • Shawnee, KS
  • NPI 1316009111
  Medicare reassignment NPD Authorized official
• Eye Associates of South Overland Park

  • Optometrist
  • Overland Park, KS
  • NPI 1417495797
  Medicare reassignment NPD
• Eye Associates of South Olathe

  • Optometrist
  • Olathe, KS
  • NPI 1952731846
  Medicare reassignment

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1437218484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-339-9090",
            "fax_number": "913-339-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNIPEDE",
        "first_name": "VINCENT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1437218484",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "20169013",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Pener, LPC
• Amanda Rose Penn, M.A.
• Denice M Penn, ARNP
• Nikiya M. Penn, P.T.A.
• Dante Carlo Pennipede, MD
• Carolyn Sue Pepper, PSY.D.
• Thomas Perdue, PSY.D.
• Isamarie Perez, RBT
• Lindsey Ann Perez, LPC
• Victor Manuel Perez Sr., M.D.

• Optometrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.