Eye to Eye PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE TO EYE PA

Practice address

1105 N Buckner St
Derby, KS 67037-2719

Phone

(316) 788-9290

Fax

(316) 788-6157

NPI assigned

Sep 24, 2007

Last updated

Jan 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Ann Branstetter, ODNPI 1366494049

Title

Owner

Phone

(316) 788-9290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Eye to Eye PA

  • Optometrist
  • Derby, KS
  • NPI 1760536908

  2466494513

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eye to Eye PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye to Eye PA

  • Optometrist
  • Derby, KS
  • NPI 1760536908
  NPD tax ID

Practitioners 3

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.

• Laura A Branstetter, OD

  • Optometrist
  • Derby, KS
  • NPI 1366494049
  NPD Authorized official
• Jennifer Lynn Carr, DOCTOR OF OPTOMETRY

  • Optometrist
  • Derby, KS
  • NPI 1770507162
  NPD
• Ashtin Marie Heath Powell, OD

  • Optometrist
  • Derby, KS
  • NPI 1760373955
  NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1679769541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372719",
            "telephone_number": "316-788-9290",
            "fax_number": "316-788-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372719",
            "telephone_number": "316-788-9290",
            "fax_number": "316-788-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "BRANSTETTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-788-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indy Marie Fairbanks
• Lori E Falcone, APRN
• Family Health Center
• Family Medcenters, P.a. (FMC Diagnostic Center)

• Eyewear Supplier in Derby, KS
• Providers in Derby, KS by specialty
• Eyewear Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.

Verify at the official NPI Registry.