Active NPI
Natalie Nichols
- Optometrist
- Leawood, KS
National Provider Identifier
1770403420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2281
- Practice address
- 11707 Roe Ave
Leawood, KS 66211-2600 - Phone
- (913) 491-9123
- NPI assigned
- Jul 21, 2026
- Last updated
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2281 | KS | Primary |
Addresses
Primary practice location
11707 Roe Ave
Leawood, KS 66211-2600
Mailing address
11505 Riley St
Overland Park, KS 66210-2246
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1770403420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 RILEY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11707 ROE AVE",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662112600",
"telephone_number": "913-491-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "NATALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "2281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.