Professional Eyecare - Fountains Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1308 Issued in KS

Legal business name

PROFESSIONAL EYECARE - FOUNTAINS INC

Practice address

9216 Metcalf Ave # 9216a
Overland Park, KS 66212-1476

Phone

(913) 387-4134

Fax

(913) 652-6800

NPI assigned

Jan 17, 2007

Last updated

May 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Lorraine Royer

Title

Managed Care Manager

Phone

(913) 696-0092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Wesley D. Johnson, O.D.

  • Optometrist
  • Overland Park, KS
  • NPI 1427119064
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1518019199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 METCALF AVE # 9216A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121476",
            "telephone_number": "913-387-4134",
            "fax_number": "913-652-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 METCALF AVE # 9216A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121476",
            "telephone_number": "913-387-4134",
            "fax_number": "913-652-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE - FOUNTAINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "MANAGED CARE MANAGER",
        "authorized_official_telephone_number": "913-696-0092"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Chiropractic, PA
• Joseph John Probst, M.D.
• Mark Lawrence Prochaska, M.D.
• Sebastiano Procopio, PHD
• Allison Beth Proctor, APRN
• Professional Eyecare Oak Park Inc.
• Professional Eyecare South LLC
• Professional Nursing Services of Kansas, Inc
• Progressive Medical, Inc.
• Progressive Primary Care, LLC

• Optometrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.