NPIMap

Organization Active NPI

Family Eyecare Center Lansing LLC

Doing business as Lansing Family Eyecare Center

  • Optometrist
  • Lansing, KS
National Provider Identifier
1578854451
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYECARE CENTER LANSING LLC
Doing business as
Lansing Family Eyecare Center
Practice address
301 Centre Dr
Lansing, KS 66043-6352
Phone
(913) 682-2020
Fax
(913) 682-2999
NPI assigned
Apr 26, 2011
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Ms. Kelly Wagner
Title
Office Manager
Phone
(913) 682-2929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Vision Therapy Optometrist 152WV0400X 1849 KS

Addresses

Primary practice location

301 Centre Dr
Lansing, KS 66043-6352

Mailing address

301 Centre Dr
Lansing, KS 66043-6352
Phone (913) 682-2020

Other names 1

  • Lansing Family Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230714001123 KS Part B Supplier - Clinic/Group Practice 9234599861 Receives reassigned benefits from 9 practitioners
Practice locations: Lansing, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1578854451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CENTRE DR",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436352",
            "telephone_number": "913-682-2020",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CENTRE DR",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436352",
            "telephone_number": "913-682-2020",
            "fax_number": "913-682-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER LANSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-682-2929",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansing Family Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.