Individual provider Active NPI

Lauren Michelle Pachy, OD

  • Optometrist
  • Lee's Summit, MO
National Provider Identifier
1609305572
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2017017033 Issued in MO
Practice address
221 NW McNary CT
Lees Summit, MO 64086-4011
Phone
(816) 524-8900
Fax
(816) 525-2042
NPI assigned
Jun 5, 2017
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2053 KS
Optometrist 152W00000X 2017017033 MO Primary

Addresses

Primary practice location

221 NW McNary CT
Lees Summit, MO 64086-4011

Mailing address

221 NW McNary CT
Lees Summit, MO 64086-4011
Phone (816) 524-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927001278 MO Practitioner - Optometry 0648544825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Eye Clinic Inc.Group PAC ID 8729018668, 7 clinicians

Practice addresses (Care Compare)

221 NW McNary CT
Eyecare Associates of Lees Summit
Lees Summit, MO 64086-4011
Phone (816) 524-8900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2053KSMDClinical Social Worker
2017017033MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Eye Clinic Inc. Optometrist CurrentSince Dec 6, 2021 Accepting new patients

Locations

221 NW McNary Ct
Lees Summit, MO 64086
Phone (816) 524-8900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1609305572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-524-8900",
            "fax_number": "816-525-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHY",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2053",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017017033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.