Active NPI
Premier Eyecare & Eyewear
- Optometrist
- Grandview, MO
National Provider Identifier
1669700514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PREMIER EYECARE & EYEWEAR
- Practice address
- 12220 Blue Ridge Ext Ste J
Grandview, MO 64030-1175 - Phone
- (816) 761-6337
- Fax
- (816) 761-3564
- NPI assigned
- Dec 3, 2009
- 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
- Christ D Dawson, OD
- Title
- Owner,MGR,OD
- Phone
- (816) 761-6337
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
12220 Blue Ridge Ext Ste J
Grandview, MO 64030-1175
Mailing address
12220 Blue Ridge Ext Ste J
Grandview, MO 64030-1175
Phone (816) 761-6337
Other names 1
- Premier Eyecare & Eyewear LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hometown Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Chillicothe, MO
- NPI 1043324015
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Grandview, MO
- NPI 1548202138
-
- Optometrist
- Harrisonville, MO
- NPI 1710911201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1669700514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12220 BLUE RIDGE EXT STE J",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640301175",
"telephone_number": "816-761-6337",
"fax_number": "816-761-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 BLUE RIDGE EXT STE J",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640301175",
"telephone_number": "816-761-6337",
"fax_number": "816-761-3564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EYECARE & EYEWEAR",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-03",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "CHRIST",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER,MGR,OD",
"authorized_official_telephone_number": "816-761-6337",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Eyecare & Eyewear LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.