State Line Eye Care Center, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STATE LINE EYE CARE CENTER, PC

Doing business as

Cass County Eye Care Center Optical

Practice address

424 E North Ave
Belton, MO 64012-2017

Phone

(816) 322-6100

NPI assigned

Mar 9, 2007

Organization subpart

Yes

Parent organization

STATE LINE EYE CARE CENTER, PCAs reported in NPPES

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

Authorized official

Name

Mr. Roland Sabates, M.D.

Title

President

Phone

(816) 444-2900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cass County Eye Care Center Optical Doing business as

Tax ID family

Union Hill Eye Care Cen2 organizations share this tax ID, including this one

Part of

Union Hill Eye Care Cen

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• State Line Eye Care Center, PC

  dba State Line Eye Care Center Optical

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1174655955
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1770615601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141635",
            "telephone_number": "816-444-2900",
            "fax_number": "816-444-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122017",
            "telephone_number": "816-322-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE EYE CARE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE LINE EYE CARE CENTER, PC",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SABATES",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-444-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328147707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19517041",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass County Eye Care Center Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Jean Smith, OTR, CHT
• Rose Duncan Smith, PHARMD
• Kelly N Spiller, AU.D.
• Michelle Stacy, COTA/L
• State Line Eye Care Center, PC (Cass County Eye Care Center)
• Corbin Curtis Stephens, MD
• Roger Kyle Stephenson, PHARM D
• Denise Sharon Sterling
• Steven D. Dunning, D.D.S., P.C.
• Liesl Schoengarth Stevens, MPT

• Eyewear Supplier in Belton, MO
• Providers in Belton, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.