Organization Active NPI

Innovative Vision Care, LLC

  • Optometrist
  • Belton, MO
National Provider Identifier
1598067902
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017076 Issued in MO
Legal business name
INNOVATIVE VISION CARE, LLC
Practice address
101 Apple Valley Pkwy
Belton, MO 64012-4725
Phone
(816) 331-9590
Fax
(816) 368-9281
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Aaron S Law, O.D.
Title
Owner
Phone
(816) 331-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2008017076 MO Primary

Addresses

Primary practice location

101 Apple Valley Pkwy
Belton, MO 64012-4725

Mailing address

101 Apple Valley Pkwy
Belton, MO 64012-4725
Phone (816) 331-9590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1598067902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 APPLE VALLEY PKWY",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640124725",
            "telephone_number": "816-331-9590",
            "fax_number": "816-368-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 APPLE VALLEY PKWY",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640124725",
            "telephone_number": "816-331-9590",
            "fax_number": "816-368-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-331-9590",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.