Organization Active NPI

Wendy K. Parsons, O.D., P.C.

  • Optometrist
  • Lees Summit, MO
National Provider Identifier
1659577666
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03196 Issued in MO
Legal business name
WENDY K. PARSONS, O.D., P.C.
Practice address
519 SW 3Rd St
Suite a
Lees Summit, MO 64063-2258
Phone
(816) 554-7747
Fax
(816) 554-9947
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mrs. Edie M Gibson
Title
Office Manager
Phone
(816) 554-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T03196 MO Primary

Addresses

Primary practice location

519 SW 3Rd St
Suite a
Lees Summit, MO 64063-2258

Mailing address

519 SW 3Rd St
Suite a
Lees Summit, MO 64063-2258
Phone (816) 554-7747

Other identifiers 2

IdentifierTypeStateIssuer
R910000OtherMOMEDICARE
34542013OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Lee's Summit Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000736 MO Part B Supplier - Clinic/Group Practice 4284699307 Receives reassigned benefits from 4 practitioners
Practice locations: Blue Springs, MO; Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

519 SW 3rd St
Ste A
Lees Summit, MO 64063
Phone (816) 554-7747

215 SE State Route 291
Lees Summit, MO 64063
Phone (816) 246-7779

Practitioners & affiliated clinicians

Practitioners 7

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1659577666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 SW 3RD ST",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632258",
            "telephone_number": "816-554-7747",
            "fax_number": "816-554-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 SW 3RD ST",
            "address_2": "SUITE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632258",
            "telephone_number": "816-554-7747",
            "fax_number": "816-554-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY K. PARSONS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "EDIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-554-7747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R910000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34542013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's Summit Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.