Aventure Vision of Kansas City, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AVENTURE VISION OF KANSAS CITY, LLC

Practice address

3716 State Ave Ste B
Kansas City, KS 66102-3831

Phone

(913) 298-7360

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Pharris, OD

Title

OD/Owner

Phone

(719) 576-1850

Specialties & licenses 1

Addresses

Other names 1

• Adventure Vision Doing business as

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1780158212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 STATE AVE STE B",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023831",
            "telephone_number": "913-298-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURE VISION OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PHARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "719-576-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• G. W. Atkinson, M.D.
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• Basem Awadh, M.D.
• Raul Ayala Morales, LMLP-T

• All providers in Kansas City, KS
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.