Active NPI
Cokingtin Eye Center PA
- Ophthalmology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- COKINGTIN EYE CENTER PA
- Practice address
- 5520 College Blvd
Ste 201
Overland Park, KS 66211-1658 - Phone
- (913) 491-3737
- Fax
- (913) 469-6686
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 21, 2022
- 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
- Christine Balestrieri
- Title
- Ceo/Practice Administrator
- Phone
- (913) 491-3737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | KS | Primary |
Addresses
Primary practice location
5520 College Blvd
Ste 201
Overland Park, KS 66211-1658
Mailing address
5520 College Blvd
Ste 201
Overland Park, KS 66211-1658
Phone (913) 491-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060810000188 | KS | Part B Supplier - Clinic/Group Practice | 9739182841 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Leawood, KS; Overland Park, KS; Lawrence, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2058422 | Cokingtin Eye Center | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cokingtin Eye Center PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Lawrence, KS
- NPI 1548228406
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1386602241
-
- Ophthalmology Physician
- Harrisonville, MO
- NPI 1477511335
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1689632630
-
- Ophthalmology Physician
- Prairie Village, KS
- NPI 1437191988
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1285253823
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1285883231
-
- Optometrist
- Overland Park, KS
- NPI 1538165758
-
- Optometrist
- Lee's Summit, MO
- NPI 1740762806
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1154362077
-
- Ophthalmology Physician
- Independence, MO
- NPI 1184807786
-
- Ophthalmology Physician
- Lee's Summit, MO
- NPI 1982696134
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1497778641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1497751648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 COLLEGE BLVD",
"address_2": "STE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111658",
"telephone_number": "913-491-3737",
"fax_number": "913-469-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 COLLEGE BLVD",
"address_2": "STE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111658",
"telephone_number": "913-491-3737",
"fax_number": "913-469-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COKINGTIN EYE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2022-07-21",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "BALESTRIERI",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "CEO/PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "913-491-3737"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.