NPIMap

Individual provider Active NPI

Renae Sue Borden, O.D.

  • Optometrist
  • Blue Springs, MO
National Provider Identifier
1740230044
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03472 Issued in MO
Practice address
600 NE Coronado Dr
Blue Springs, MO 64014
Phone
(816) 224-3838
NPI assigned
May 10, 2006
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03472 MO Primary

Addresses

Primary practice location

600 NE Coronado Dr
Blue Springs, MO 64014

Mailing address

2725 SE Nottingham Dr
Lees Summit, MO 64063-3662
Phone (816) 882-4900

Other practice location 1

4000 S Bolger Rd
Independence, MO 64055-6776
Phone (816) 478-3699

Other names 1

  • Renae Sue Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Management Inc. Optometrist Past Accepting new patients
Kessler Eyecare PA Optometrist PastSince Aug 27, 2014 Accepting new patients
Professional Eyecare - Bannister Optometrist Past Accepting new patients
Gerhard W Cibis MD PC Optometrist Past Accepting new patients
Professional Eyecare Metro North Inc Optometrist Past Accepting new patients
Wendy K. Parsons, O.D., P.C. Optometrist PastSince Aug 30, 2004 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1740230044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 SE NOTTINGHAM DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633662",
            "telephone_number": "816-882-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-224-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 S Bolger Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556776",
            "country_code": "US",
            "telephone_number": "816-478-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "RENAE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "ROBINSON",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.