The Eye Gallery, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1889 Issued in KS

Legal business name

THE EYE GALLERY, LLC

Practice address

2146 N Collective LN
#110
Wichita, KS 67206-3573

Phone

(620) 770-1493

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Megan Baldwin, O.D.NPI 1063790145

Title

Optometrist

Phone

(620) 770-1493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Tax ID family

Eye Gallery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Gallery, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1093121097
  NPD tax ID
• The Eye Gallery, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1730436460
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Nichole Baldwin, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1063790145
  Medicare reassignment Care Compare group NPD Authorized official
• Alisa Nola, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1386059053
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1598041899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 S GILDA CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672152052",
            "telephone_number": "620-770-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN",
            "address_2": "#110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063573",
            "telephone_number": "620-770-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE GALLERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "620-770-1493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.