Family Eyecare Center of Bonner Springs LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY EYECARE CENTER OF BONNER SPRINGS LLC

Practice address

13047 Kansas Ave
Bonner Springs, KS 66012-9206

Phone

(913) 682-2929

Fax

(913) 682-2999

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By 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

Kelly Skaggs

Title

Office Manager

Phone

(913) 682-2929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 10

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.

• Alisha O'Shea, O.D

  • Optometrist
  • Leavenworth, KS
  • NPI 1578454666
  Medicare reassignment Care Compare group NPD
• Ashley Schuelke Reddell, O.D.

  • Optometrist
  • Leavenworth, KS
  • NPI 1649408600
  Medicare reassignment Care Compare group NPD
• Jonathan Reddell, O.D.

  • Optometrist
  • Leavenworth, KS
  • NPI 1982982013
  Medicare reassignment Care Compare group NPD
• Laura E Toren, O.D.

  • Corneal and Contact Management Optometrist
  • Shawnee, KS
  • NPI 1922314137
  Medicare reassignment Care Compare group NPD
• Katherine Gunn, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1790354066
  Medicare reassignment NPD
• Joshua Allan Russell, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1801637244
  Medicare reassignment NPD
• Matthew A. Siemer, O.D.

  • Optometrist
  • Kansas City, KS
  • NPI 1215168141
  Medicare reassignment NPD
• Aaron R Wilmes, O.D.

  • Optometrist
  • Lawrence, KS
  • NPI 1548236987
  Medicare reassignment NPD
• Natalie Grace Nibert, OD

  • Optometrist
  • Minnetonka, MN
  • NPI 1386313088

  KS

  Medicare reassignment NPD
• Mark S Norris, OD

  • Optometrist
  • Leavenworth, KS
  • NPI 1104827948
  NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1730514878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13047 KANSAS AVE",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129206",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13047 KANSAS AVE",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129206",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER OF BONNER SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-682-2929"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Drake, D.D.S.
• Corey Dunn
• Eastern Surgical Assistants, LLC
• Jeffrey L Elmer, DDS
• Trevor Lee Elmer, PT, DPT
• Florence Fang, PHARM.D
• Ketzaly Franco-Acevedo
• Bailey Gallagher
• James Grant Gamble, OD
• Patty L. Gerken, ANP-BC, AOCN

• Optometrist in Bonner Springs, KS
• Providers in Bonner Springs, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.