Organization Active NPI

Dennis Eye Care, LLC

  • Optometrist
  • Leavenworth, KS
National Provider Identifier
1508098997
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1806 Issued in KS
Legal business name
DENNIS EYE CARE, LLC
Practice address
5000 10TH Ave
Leavenworth, KS 66048
Phone
(913) 250-0885
Fax
(913) 250-0824
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Keri Lynn Dennis, O.D.
Title
Optometrist
Phone
(913) 250-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1806 KS Primary

Addresses

Primary practice location

5000 10TH Ave
Leavenworth, KS 66048

Mailing address

5000 10TH Ave
Leavenworth, KS 66048
Phone (913) 250-0885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1508098997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-250-0885",
            "fax_number": "913-250-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-250-0885",
            "fax_number": "913-250-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "913-250-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.