NPIMap

Organization Active NPI

The Eye Center of Shawnee LLC

  • Optometrist
  • Shawnee, KS
National Provider Identifier
1770828410
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2007035557 Issued in MO
Legal business name
THE EYE CENTER OF SHAWNEE LLC
Practice address
16100 W 65TH St
Shawnee, KS 66217-9301
Phone
(913) 268-3300
Fax
(913) 268-3526
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Jayme R Fose, OD
Title
Owner/Optometrist
Phone
(913) 681-2624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2007035557 MO Primary

Addresses

Primary practice location

16100 W 65TH St
Shawnee, KS 66217-9301

Mailing address

8007 W 151St St Ste 102
Overland Park, KS 66223-2115
Phone (913) 681-2624

Other practice location 1

8007 W 151st St Ste 102
Overland Park, KS 66223-2115
Phone (816) 942-3718

Other names 1

  • KC Vision Center LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8007 W 151st St
Ste 102
Overland Park, KS 66223
Phone (816) 942-3718

16100 W 65th St
Shawnee, KS 66217
Phone (913) 268-3300

Practitioners & affiliated clinicians

Practitioners 2

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1770828410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 W 151ST ST STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232115",
            "telephone_number": "913-681-2624",
            "fax_number": "913-681-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179301",
            "telephone_number": "913-268-3300",
            "fax_number": "913-268-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8007 W 151st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662232115",
            "country_code": "US",
            "telephone_number": "816-942-3718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE EYE CENTER OF SHAWNEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "FOSE",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "913-681-2624",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007035557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC Vision Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.