Organization Active NPI

Family Eye Care of Topeka, P.a.

  • Optometrist
  • Topeka, KS
National Provider Identifier
1508919762
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYE CARE OF TOPEKA, P.A.
Practice address
1107 SW Gage Blvd
Topeka, KS 66604-1892
Phone
(785) 271-8989
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Miss Jessica N Mai, ODNPI 1417103458
Title
OD/Owner
Phone
(785) 271-8989

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

1107 SW Gage Blvd
Topeka, KS 66604-1892

Mailing address

1107 SW Gage Blvd
Topeka, KS 66604-1892
Phone (785) 271-8989

Other identifiers 1

IdentifierTypeStateIssuer
053933OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050502000685 KS Part B Supplier - Clinic/Group Practice 2668411398 Receives reassigned benefits from 5 practitioners
Practice locations: Topeka, KS
O20100930002490 KS DME Supplier - Physician - Optometrist 2668411398 Practice locations: Topeka, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Eye Care of Topeka, P.a.1107 SW Gage Blvd, Topeka, KS 66604-1892(785) 271-8989 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

1107 SW Gage Blvd
Ste 200
Topeka, KS 66604
Phone (785) 271-8989

1107 SW Gage Blvd
Topeka, KS 66604
Phone (785) 271-8989

Practitioners & affiliated clinicians

Practitioners 7

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1508919762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041892",
            "telephone_number": "785-271-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF TOPEKA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "785-271-8989",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OD"
    },
    "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",
            "identifier": "053933",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.

Verify at the official NPI Registry.