Active NPI
Dennis Eye Care, LLC
- Optometrist
- Leavenworth, KS
National Provider Identifier
1508098997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1806
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryNPI 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.