Organization Active NPI

Heart of America Eye Care, PA

  • Ophthalmology Physician
  • Shawnee Mission, KS
National Provider Identifier
1649209586
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HEART OF AMERICA EYE CARE, PA
Practice address
8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001
Phone
(913) 362-3210
Fax
(913) 362-0407
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Bradley Raymond Kwapiszeski, MDNPI 1326075680
Title
Ceo
Phone
(913) 362-3210

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X KS Primary

Addresses

Primary practice location

8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001

Mailing address

8800 W 75TH St Ste 140
Shawnee Mission, KS 66204-4001
Phone (913) 362-3210

Other practice location 1

10985 Cody St Ste 120
Overland Park, KS 66210-1243
Phone (913) 492-0021

Other practice location 2

1147 E North Ave
Belton, MO 64012-5105
Phone (816) 322-6100

Other identifiers 1

IdentifierTypeStateIssuer
10432019OtherMOBCBS OF KANSAS CITY, MO

Other names 1

  • SHAWNEE MISSION EYE CARE Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050620000903 KS Part B Supplier - Clinic/Group Practice 2668438417 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Prairie Village, KS; Shawnee Mission, KS; Overland Park, KS
O20190809000876 MO Part B Supplier - Clinic/Group Practice 2668438417 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belton, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1147 E North Ave
Belton, MO 64012
Phone (816) 322-6100

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1649209586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 140",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-362-3210",
            "fax_number": "913-362-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 140",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-362-3210",
            "fax_number": "913-362-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10985 Cody St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101243",
            "country_code": "US",
            "telephone_number": "913-492-0021",
            "fax_number": "913-362-0407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "640125105",
            "country_code": "US",
            "telephone_number": "816-322-6100",
            "fax_number": "913-362-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART OF AMERICA EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "KWAPISZESKI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-362-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY, MO",
            "identifier": "10432019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAWNEE MISSION EYE CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SHAWNEE MISSION EYE CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.