Organization Active NPI

Powell Vision Care

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1477586915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
POWELL VISION CARE
Practice address
11701 Metcalf Ave
Overland Park, KS 66210-2201
Phone
(913) 338-1749
Fax
(913) 338-2918
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deanna J. Powell, O.D.NPI 1710940564
Title
Member LLC/Optometrist
Phone
(913) 338-1749

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 1

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

Addresses

Primary practice location

11701 Metcalf Ave
Overland Park, KS 66210-2201

Mailing address

10122 Theden Cir
Lenexa, KS 66220-2695
Phone (913) 338-1749

Other identifiers 1

IdentifierTypeStateIssuer
33797018OtherBCBS OF KC

National Provider Directory

National Provider Directory

Locations

15700 Metcalf Ave
Overland Park, KS 66223
Phone (913) 685-7493

Practitioners & affiliated clinicians

Practitioners 2

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477586915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 THEDEN CIR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662202695",
            "telephone_number": "913-338-1749",
            "fax_number": "913-338-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102201",
            "telephone_number": "913-338-1749",
            "fax_number": "913-338-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER LLC/OPTOMETRIST",
        "authorized_official_telephone_number": "913-338-1749",
        "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": "BCBS OF KC",
            "identifier": "33797018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.