NPIMap

Organization Active NPI

Heartland Eye Care, LLC

  • Ophthalmology Physician
  • Topeka, KS
National Provider Identifier
1750778791
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HEARTLAND EYE CARE, LLC
Practice address
619 SW Corporate VW
Topeka, KS 66615-1233
Phone
(785) 235-3322
Fax
(785) 246-6258
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. John C. Marsh, M.D.
Title
Physician
Phone
(785) 235-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

619 SW Corporate VW
Topeka, KS 66615-1233

Mailing address

619 SW Corporate VW
Topeka, KS 66615-1233
Phone (785) 235-3322

Other identifiers 2

IdentifierTypeStateIssuer
136611OtherKSBCBS OF KS
IN PROCESSMedicaidKS

Other names 1

  • Center for Sight of Northeast Kansas Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507002108 KS Part B Supplier - Clinic/Group Practice 5193044451 Receives reassigned benefits from 4 practitioners
Practice locations: Topeka, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1750778791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151233",
            "telephone_number": "785-235-3322",
            "fax_number": "785-246-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151233",
            "telephone_number": "785-235-3322",
            "fax_number": "785-246-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "785-235-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "136611",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IN PROCESS",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sight of Northeast Kansas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.