Individual provider Active NPI

Alan Ruiz Cabrera, OD

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1669518874
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03327 Issued in MO
Practice address
6932 W 135TH St
Overland Park, KS 66223
Phone
(913) 897-0202
Fax
(913) 897-0230
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1422-3 KS
Optometrist 152W00000X T03327 MO Primary

Addresses

Primary practice location

6932 W 135TH St
Overland Park, KS 66223

Mailing address

6932 W 135TH St
Overland Park, KS 66223-4800
Phone (913) 897-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20041007000690 KS Practitioner - Optometry 7113996679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1422KSMDClinical Psychologist
1422-3KSMDOptometrist
T03327MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Feb 6, 2023 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

6635 W 135th St
Overland Park, KS 66223
Phone (913) 730-9750

6635 W 135th St
#C
Overland Park, KS 66223
Phone (913) 730-9750

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

118 N Conistor Ln
Ste F
Liberty, MO 64068
Phone (816) 452-8999

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1669518874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234800",
            "telephone_number": "913-897-0202",
            "fax_number": "913-897-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-897-0202",
            "fax_number": "913-897-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ALAN",
        "middle_name": "RUIZ",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1422-3",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.