Active NPI
Retina Associates LLC
- Ophthalmology Physician
- Lenexa, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA ASSOCIATES LLC
- Practice address
- 8600 Quivira Rd Ste 100
Lenexa, KS 66215-2857 - Phone
- (913) 831-7400
- Fax
- (913) 831-7409
- NPI assigned
- Jun 12, 2006
- Last updated
- Aug 17, 2023
- 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. Blake A Cooper, MD
- Title
- Owner
- Phone
- (913) 831-7400
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Ophthalmology Physician | 207W00000X | NU | Primary | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | NU |
Addresses
Primary practice location
8600 Quivira Rd Ste 100
Lenexa, KS 66215-2857
Mailing address
8600 Quivira Rd Ste 100
Lenexa, KS 66215-2857
Phone (913) 831-7400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505323600 | Medicaid | MO | |
| 100342190A | Medicaid | KS | |
| 110601 | Other | KS | BLUE CROSS BLUE SHIELD OF |
| CB2777 | Other | MO | RAILROAD MEDICARE |
| 25646013 | Other | MO | BLUE CROSS BLUE SHIELD OF |
| CB2776 | Other | KS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2023004 | Retina Associates, LLC | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
8600 Quivira Rd
Ste 100
Lenexa, KS 66215
151 W 151st St
Olathe, KS 66061
Phone (913) 764-1125
6201 College Blvd
Ste 200
Overland Park, KS 66211
9301 W 74th St
Ste 210
Shawnee Mission, KS 66204
Phone (913) 601-3589
8901 W 74th St
Ste 385
Shawnee Msn, KS 66204
Phone (816) 505-3400
6001 SW 6th Ave
Ste 300
Topeka, KS 66615
Phone (785) 271-2200
610 Lana Dr
Cameron, MO 64429
Phone (816) 233-2020
10100 N Ambassador Dr
Ste 100
Kansas City, MO 64153
Phone (816) 505-3400
4100 N Mulberry Dr
Ste 100
Kansas City, MO 64116
Phone (816) 246-7400
8350 N Saint Clair Ave
Ste 220
Kansas City, MO 64151
Phone (816) 505-3400
100 NE Missouri Rd
Ste 203
Lees Summit, MO 64086
Phone (816) 246-7400
3700 W 10th St
Ste 101
Sedalia, MO 65301
Phone (660) 851-0492
Interoperability endpoints
- mellis@kcretina.intellechartdirect.net
- mnichols@kcretina.intellechartdirect.net
- npatel@kcretina.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 25
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": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1609818913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 QUIVIRA RD STE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662152857",
"telephone_number": "913-831-7400",
"fax_number": "913-831-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 QUIVIRA RD STE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662152857",
"telephone_number": "913-831-7400",
"fax_number": "913-831-7409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "BLAKE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-831-7400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505323600",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100342190A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "110601",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB2777",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "25646013",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB2776",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.