Active NPI
Children's Eye Care, P.a.
- Ophthalmology Physician
- Overland Park, KS
National Provider Identifier
1598930745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0417188
- Legal business name
- CHILDREN'S EYE CARE, P.A.
- Practice address
- 4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318 - Phone
- (913) 491-9123
- Fax
- (913) 491-6608
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David E Braverman, MD
- Title
- Owner
- Phone
- (913) 491-9123
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0417188 | KS | Primary |
Addresses
Primary practice location
4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318
Mailing address
4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318
Phone (913) 491-9123
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200730638 | Other | KS | MISSOURI MEDICAID |
| 2343355017 | Other | CIGNA | |
| 4001325 | Other | AETNA | |
| 446582 | Other | CENTRAL STATES | |
| 07379 | Other | SPECTERA | |
| 100124250C | Medicaid | KS | |
| 30991 | Other | PRINCIPAL | |
| 461214 | Other | CHILDRENS MERCY FAMILY HEALTH PARTNERS | |
| 06907178 | Other | BC/BS | |
| 100124250C | Other | UNICARE | |
| 4465821 | Other | HEALTHNET | |
| 0809553 | Other | UNITED HEALTHCARE | |
| 180012951 | Other | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4601 W 109th St
Ste 225
Overland Park, KS 66211
Phone (913) 236-7751
4601 W 109th St
Ste 250
Overland Park, KS 66211
Phone (913) 491-9123
Practitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1487656674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1598930745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W 109TH ST",
"address_2": "SUITE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111318",
"telephone_number": "913-491-9123",
"fax_number": "913-491-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W 109TH ST",
"address_2": "SUITE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111318",
"telephone_number": "913-491-9123",
"fax_number": "913-491-6608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S EYE CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "BRAVERMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-491-9123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "0417188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI MEDICAID",
"identifier": "200730638",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2343355017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4001325",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTRAL STATES",
"identifier": "446582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "07379",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124250C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL",
"identifier": "30991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MERCY FAMILY HEALTH PARTNERS",
"identifier": "461214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "06907178",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "100124250C",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4465821",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0809553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180012951",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Catherine T Cheshire
- Courtney Chesser, PHARMD
- Jennifer Chester, FNP
- Adrienne P Chew, ND
- Crystal Chilcoat
- Children's Mercy - Pediatric Partners, Inc
- Children's Mercy - Premier Pediatrics, Inc.
- Children's Mercy-Pediatric Care Specialist
- Children's Physical Therapy Associates
- Children's Physical Therapy Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.