Organization Active NPI

Tallgrass Eyecare LLC

  • Optometrist
  • Wichita, KS
National Provider Identifier
1740719541
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1377 Issued in KS
Legal business name
TALLGRASS EYECARE LLC
Practice address
8100 E 22ND St N # 1600-a
Wichita, KS 67226-2388
Phone
(316) 634-3998
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffrey S Janasek, ODNPI 1679665137
Title
Owner/Optometrist
Phone
(316) 260-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1377 KS Primary

Addresses

Primary practice location

8100 E 22ND St N # 1600-a
Wichita, KS 67226-2388

Mailing address

8100 E 22ND St N # 1600-a
Wichita, KS 67226-2388
Phone (316) 634-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170802000105 KS Part B Supplier - Clinic/Group Practice 3072884576 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS
O20170821000153 KS DME Supplier - Physician - Optometrist 3072884576 Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Tallgrass Eyecare LLC8100 E 22ND St N, Wichita, KS 67226-2388(316) 634-3998 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 1, 2017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740719541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N # 1600-A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-634-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N # 1600-A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-634-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JANASEK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "316-260-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.